Byram healthcare fax number 2025

1. Click ‘Get Form’ to open the byram healthcare fax number document in the editor.
2. Begin by entering the Referral # at the top of the form. This is essential for tracking your order.
3. Fill in the Customer Service contact information, including the fax number and account name. Ensure accuracy for seamless communication.
4. Complete the patient details section, including their name, date of birth, address, and insurance information. This data is crucial for processing.
5. Indicate whether the patient has diabetes and if they are being seen by a home health agency. This helps tailor care appropriately.
6. In the 'Ordered By' section, provide your name and contact details to ensure proper follow-up on orders.
7. Sign and date at the bottom of the form to authorize release of information and assignment of benefits. This step is vital for compliance.

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