Get the free Fax completed form to (207) 561-3454 Preventive Care Form

Preventive Care Form Please Note: This form is NOT a physician order. Participant:Submit Form to:Please fill out and sign Section 1. Fax: (207) 5613454 Mail: UMS Employee Benefits Center, University

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How to fill out fax completed form to

1. Gather all necessary information that needs to be filled out on the form.
2. Ensure you have access to a fax machine or an online fax service.
3. Double-check the recipient's fax number before sending.
4. Fill out the form neatly and legibly with a dark pen or marker.
5. Scan the completed form if using an online fax service, or make a copy if using a physical fax machine.
6. Dial the recipient's fax number and follow the prompts to send the fax.
7. Wait for a confirmation page or email to ensure the fax was successfully sent.

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Fax completed form to the designated recipient or department.

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