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Step 1: Fax this form, along with the patients referral (if applicable) to fax number above. Step 2: A Referral Coordinator will contact the patient within 24 hours to schedule an appointment with
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How to fill out fax this form or
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Obtain the fax form that needs to be filled out.
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Professionals in various industries such as healthcare, legal, real estate, and finance often use fax machines for sending confidential information.
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The information typically required includes sender's name and contact details, recipient’s information, date of transmission, and any specific content required by the organization or legal entity.
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