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IMPORTANT:
If this case requires urgent processing, please contact us at 800.753.2851.
 
 
 
 
We do not have a secure fax number on file for your office. Please enter your fax number beginning with area code:
Fax Number :
  This Fax Number is secure.*
If you would like to change your Secure Fax Number on file, please contact us at 800.753.2851.
*A fax number is considered secure if it is suitable for receiving patient confidential information and cannot be accessed by anyone other than the intended recipient.

 
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