Directory information, not recipient confirmation. Fax numbers can change and differ by department, location, form, or plan. Confirm this destination directly with Texoma Physicians Group PLLC before sending sensitive documents. FaxFlow is not affiliated with this organization.
Texoma Physicians Group PLLC fax number
(903) 202-2901
Immunization Registry (ImmTrac2) forms submission
Used for: Submission of immunization-related forms and patient information to ImmTrac2; transmitting immunization records and consent documents.
Fax destination details
- Department
- Immunization Registry (ImmTrac2) forms submission
- Purpose
- Submission of immunization-related forms and patient information to ImmTrac2; transmitting immunization records and consent documents.
- Form
- ImmTrac2 Minor Consent form — ImmTrac2 Minor Consent form
- Address
- 220 E Evergreen St, Sherman, TX 75090
- Voice phone
- 903-202-2900
- Website
- Visit organization website
Before you send
- Confirm that this exact department handles your document or request.
- Check the organization website or call its main line for the current fax number.
- Include a cover sheet and any case, member, claim, or form reference required.
- Keep the delivery confirmation with your submission records.
Instructions for completing minor consent and consent for immunization registry participation; includes parental authorization for treatment of a minor.
Official form instructions are published as a downloadable file on the organization's website.
Sources and verification
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