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Forms Library

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Equipment Handout Description
Nebulizer How to use Nebulizer
Bath Safety Bath Safety handout
Bed Rails Proper use of Bed Rails
Canes Proper use of a Cane
Commodes Proper use of a Commode
Oxygen Concentrator Proper use & maintenance of an Oxygen Concentrator
Cpap Proper use & maintenance of a Cpap machine
Crutches Proper use of Crutches
Enteral Nutrition Pump Proper use & maintenance of a Enteral Nutrition Pump
Walker How to use a folding Walker
Hand Held Shower Proper use of a Hand Held Shower
Semi Electric Hospital Bed Proper use of a Hospital Bed
Patient Lift Proper use of a Patient Lift
Liquid Oxygen Base Proper use & maintenance of a Liquid Oxygen Base
Low Air Loss Mattress Proper use of a Low Air Loss Mattress
Over the Bed Table How to use a Over the Bed Table
Over the Door Traction How to use a Over the Door Traction set
Oxygen Conserving Device How to use an Oxygen Conserving Device
Oxygen Tanks How to use Oxygen Tanks
Oxygen Therapy Information on Oxygen Therapy
Pulse Oximeter Proper use of an Pulse Oximeter
Scooter Proper use of a Scooter
Power Wheelchair Proper use of a Power Wheelchair
Pelvic Traction How to use Pelvic Traction
Manual Wheelchair How to use a Manual Wheelchair
Nasal Suction How to utilize Nasal Suction
Oral Suction How to utilize Oral Suction
Tracheal Suction How to utilize Tracheal Suction
Tens Unit How to use a Tens Unit
Tub Grab Bars How to use a Tub Grab Bar
Wall Grab Bars How to use Wall Grab Bars
Order Forms Description
Cpap/Bipap Order Form These are the items needed to process an order. Review, attach proper documents, check proper boxes and fax or email over for processing.  Add a Dr signature if needed.
Manual Wheelchair Order Form These are the items needed to process an order. Review, attach proper documents, check proper boxes and fax or email over for processing.  Add a Dr signature if needed.
Tens Unit Order Form These are the items needed to process an order. Review, attach proper documents, check proper boxes and fax or email over for processing.  Add a Dr signature if needed.
Hospital Bed Order Form These are the items needed to process an order. Review, attach proper documents, check proper boxes and fax or email over for processing.  Add a Dr signature if needed.
Bedside Commode Order Form These are the items needed to process an order. Review, attach proper documents, check proper boxes and fax or email over for processing.  Add a Dr signature if needed.
Oxygen Order Form These are the items needed to process an order. Review, attach proper documents, check proper boxes and fax or email over for processing.  Add a Dr signature if needed.
Oxygen Description
No Smoking Sign No Smoking Sign
Oxygen Cylinder Sizes Sized for oxygen cylinders
Oxygen Cylinder Usage Chart Chart showing approximate usage time of oxygen cylinders.
Liquid Oxygen Usage Chart Shows different Liquid applications and approx. usage times for each unit.  Portable and reservoir.
Reference Material Description
Wheelchair Cushion Qualification chart Flow chart on how to get a wheelchair cushion covered
Medicare Quick Reference Guide for Equipment This guide will walk you through the steps to better understand how to get equipment qualified through Medicare.
Broda Basic Instruction Form Quick reference points on using a Broda