• Pharmacy Forms and Resources

    Printable Courtesy Plus Card Application
    Sync Your Meds Patient Agreement Form
    Vaccine Administration and Consent Form
    PHI Release Form

    Health Care Equipment Compliance Documents

    Acknowledegment of Receipt of Patient Booklet
    Certificate of Training
    HIPAA Notice of Privacy Practices
    Medicare Capped Rental & Inexpensive or Routinely Purchased Items
    Medicare DMEPOS Supplier Standards
    Patient Rights & Responsibilities

    Health Care Equipment Education Materials

    Aerosol Compressors
    Aerosol Therapy
    Apnea Monitors
    Bath Benches & Safety Rails
    Beds & Accessories
    BiPAPs
    Blood Pressure Cuffs
    Canes & Quad Canes
    Commodes
    CPAPs
    Crutches
    Enteral Pumps & Supplies
    Grab Bars
    Group One Support Surfaces
    Group Two Support Surfaces
    Lift Chairs
    Oxygen Concentrators
    Oxygen Conserving Devices
    Oxygen In Use – No Smoking
    Oxygen Safety
    Oxygen Saturation Monitoring
    Oxygen Therapy
    Patient Lifts
    Raised Toilet Seats
    Suction Units
    Tracheostomy Suctioning
    Trapeze Bars
    Walkers
    Wheelchairs

    Health Care Equipment Plan of Care

    Aerosol Compressor – POC
    Ambulatory Aids – POC
    Blood Pressure Monitors – POC
    Hygiene and Bath Aids – POC