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() Order Form Please include the following (required): 1. Patient Demographics & Insurance Information 2. Clinical/Progress Notes, Labs, Tests supporting primary diagnosis (ICD9) 3. TB screening and
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How to fill out order form - infusion
How to fill out order form - infusion:
01
Start by carefully reading the instructions on the order form.
02
Provide your contact information accurately, including your name, phone number, and email address.
03
Indicate the quantity of the infusion you wish to order. Specify the dosage or strength if applicable.
04
If there are different options available, make sure to mention your preference or any specific instructions.
05
Fill in the delivery address clearly. Double-check the address to avoid any delivery issues.
06
If payment information is required, provide the necessary details securely. Ensure you follow any instructions regarding payment methods.
07
Review the completed order form for any errors or missing information before submitting.
Who needs order form - infusion:
01
Patients who require infusion therapy as part of their medical treatment.
02
Healthcare professionals, such as doctors, nurses, or medical staff, who administer infusions to patients.
03
Hospitals, clinics, or medical facilities that order infusions for their patients' treatments.
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