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REMOVABLE APPLIANCE PRESCRIPTION USE ONLYCustomer Used: r GO Acct r 2 Day On CallPLEASE Print Portal Upload No FRT (00) r Must Acct No FRT (00)Account # C0 B I L L I N G A D D R E SS PRACTICE TYPE:r

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How to fill out send us a case

01

Go to the website and locate the 'Send Us a Case' form.

02

Fill in your personal information such as name, email, and phone number.

03

Provide a detailed description of your case or issue.

04

Attach any relevant documents or evidence to support your case.

05

Submit the form and wait for a response from the relevant department.

Who needs send us a case?

01

Individuals who require assistance or support for a specific case or issue

02

Customers who have encountered problems with a product or service

03

Clients seeking legal advice or representation

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What is send us a case?

Send us a case is a formal request to review a specific situation or issue, typically submitted to a regulatory or governing body for consideration.

Who is required to file send us a case?

Individuals or organizations that believe they have a legitimate issue or concern that falls under the jurisdiction of the reviewing body are required to file a send us a case.

How to fill out send us a case?

To fill out a send us a case, gather all relevant information, complete the official form, provide necessary documentation, and submit it according to the guidelines provided by the governing body.

What is the purpose of send us a case?

The purpose of send us a case is to facilitate the review and resolution of specific issues, ensuring transparency and accountability in decision-making processes.

What information must be reported on send us a case?

The information that must be reported usually includes the details of the issue, relevant dates, parties involved, supporting documentation, and contact information for follow-up.

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