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Phone: 8013809305 Fax: 8016099302AUTHORIZATION TO RELEASE HEALTH INFORMATION Client Name: ___ Date of Birth: ___ Previous Name: ___ Social Security #: ___ I request and authorize: Name: ___ Address:
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How to fill out phone 801-380-9305 fax 801-609-9302

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Obtain the appropriate form or document that requires the phone and fax numbers.
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Locate the section of the form that asks for contact information.
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Enter the phone number '801-380-9305' in the designated phone number field.
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Double-check both numbers for accuracy before submitting the form.

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Phone 801-380-9305 and fax 801-609-9302 are contact numbers, likely associated with a specific business or organization for inquiries and document submissions.
Individuals or entities that are required to submit documentation or inquiries through this contact method as specified by the governing body or organization associated with these numbers.
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The purpose of these numbers is to provide a means of communication for inquiries, submissions, or support regarding specific processes or services offered by an organization.
The information that must be reported typically includes personal identification details, the nature of the inquiry or submission, and any relevant documentation as requested by the organization.
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