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  • Fax Cover: Provider Information Sheet

Fax Cover: Provider Information Sheet

Date: August 2016

This is a sample fax cover of a provider information sheet.

Time Sensitive Fax PDF

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  • Follow-Up
  • Quality Improvement
  • Educational Tools

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This resource, a program of APHL, was developed by funding from the Health Resources and Services Administration (HRSA) of the U.S. Department of Health and Human Services (HHS) under grant number U22MC24078 for $2,300,000.

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