Important Information Record About Your Prescription - CAIRE HELiOS Marathon H850 Use Manual

Important Information Record
About Your Prescription
Your name:_________________________________________________
Doctor's name: _____________________________________________
Doctor's phone number:______________________________________
Date your H850 portable oxygen unit was received: _______________
Prescribed oxygen flow settings________________________________
• During sleep ______________________________________________
• At rest ____________________________________________________
• During exercise ____________________________________________
Home care company's name: __________________________________
Home care company's phone number: __________________________
Emergency contact's name: ___________________________________
Emergency contact's phone number: ___________________________
Special Instructions:
__________________________________________________________
__________________________________________________________
__________________________________________________________
__________________________________________________________
__________________________________________________________
__________________________________________________________
__________________________________________________________
__________________________________________________________
__________________________________________________________
Technical Support 1.800.
52 HELiOS Marathon
TM
H850 Portable Oxygen Unit Home Use Guide