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FOR LEAD AGENCY USE ONLY: To request a Provider Alert, please fill out the Provider Alert template below and submit it to Stanford Kemp Raymond Duran (StanfordRaymond.Kemp1@hsdDuran@hsd.nm.gov), Operations Director of the BHC for review and approval.

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The approved Provider Alert should be submitted by either Stanford Kemp or Raymond Duran on behalf of Stanford the BHC to FC Support at support@fallingcolors.com for processing. FC Support will respond to the request once the alert has been scheduled for distribution and posting.

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