Get the free MEDICAL FAX TO (813) 922-3152 PRESCRIPTION ORDER FORM - Stymco
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MEDICAL NPI #: 1932541646PRESCRIPTION ORDER FORMMEDICALCustomer Service: (813) 9223150FAX TO (813) 9223152 Corporate Address: 7624 Bald Cypress Place, Tampa, FL 33614MEDICALPatient Name ___ Date of
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How to fill out medical fax to 813
How to fill out medical fax to 813
01
Fill out patient's personal information such as name, date of birth, address, and contact number.
02
Provide detailed information about the medical condition or reason for the fax.
03
Include any additional instructions or requests for the recipient.
04
Sign and date the fax before sending it to the designated number 813.
Who needs medical fax to 813?
01
Healthcare providers
02
Hospitals
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Clinics
04
Insurance companies
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What is medical fax to 813?
Medical fax to 813 is a form used to report medical information to the relevant authorities.
Who is required to file medical fax to 813?
Healthcare providers and facilities are required to file medical fax to 813.
How to fill out medical fax to 813?
Medical fax to 813 can be filled out by providing the necessary medical information requested on the form.
What is the purpose of medical fax to 813?
The purpose of medical fax to 813 is to ensure that accurate medical information is reported to the authorities.
What information must be reported on medical fax to 813?
Medical conditions, treatments, and patient information must be reported on medical fax to 813.
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