I m p o r t a n t I n f o r m a t i o n
A b o u t Y o u r P r e s c r i p t i o n
Your name: ________________________________________
Doctor's name: _____________________________________
Doctor's phone number: ______________________________
Date your H850 Portable was received: __________________
Prescribed oxygen flow setting:
Home care company's name: __________________________
Home care company's phone number: ___________________
Emergency contact's name: ___________________________
Emergency contact's phone number: ____________________
Special Instructions:
__________________________________________________
__________________________________________________
__________________________________________________
__________________________________________________
__________________________________________________
•
during sleep
•
at rest
•
during exercise
_________________________________________________
_________________________________________________
_____________________________________________
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