You may also write a letter containing all required information and send it to: U.S. Department of Agriculture, Director, Office of Adjudication, 1400 Independence Ave., S.W., Washington, D.C. 20250-9410, Fax: (202) 690-7442 or email at program.intake@usda.gov. Check patients out following visits, collect payments, and schedule follow-up appointments according to patient and provider preferences.