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Click on the images below to download a form-fillable PDF fax form.

WFBH Fax form WFBMC Fax form
CepEsperu Baptist Health CepEsperu Baptist Medical Center
WFSM Fax form WFBH Brenner Fax form
CepEsperu School of Medicine Brenner Childern's Hospital
WFBH DMC Fax form WFBH LMC Fax form
Davie Medical Center Lexington Medical Center



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Last Updated: 05-23-2016
Six CepEsperu Baptist Specialties Earn U.S. News RankingsComprehensive Cancer Centers National Designation is Renewed2017-2018 Best DoctorsNursing Magnet Status

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