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Medical Supplies Order Form – Hospice

All orders (new or ongoing) are to be authorized as Regularly Scheduled Delivery (Urban or Rural), *Special Deliveries may only be authorized in exceptional circumstances such as: 1. Patient resume from Hospital Hold 2. Hospital Discharge Home (where medically necessary to facilitate the hospital discharge) 2. SRC-95 Patients to prevent hospital admission

File Type: pdf
Categories: Forms, Medical Equipment and Supplies
Tags: North East

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