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Back to MA\'s 1999 Bulletins main page Commonwealth of Massachusetts Executive Office of Health and Human Services Division of Medical Assistance 600 Washington Street Boston, MA 02111MassHealth Durable
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01
To fill out DME-13PDF New General Prescription, follow these steps:
02
Start by entering your personal information such as your name, address, and contact details in the designated fields.
03
Next, provide the date on which the prescription is being filled out.
04
Fill in the patient's information, including their name, date of birth, and any relevant medical history.
05
Specify the type of medical equipment being prescribed and provide details such as the brand, model, and quantity.
06
Indicate the diagnosis or medical condition that necessitates the prescription of the equipment.
07
If applicable, include any special instructions or requirements for the equipment.
08
Lastly, the prescribing healthcare provider should sign and date the prescription, certifying its accuracy and necessity.
09
Ensure that all information provided is legible and accurate to avoid any issues or delays in processing the prescription.

Who needs dme-13pdf new general prescription?

01
DME-13PDF New General Prescription is required for individuals who need to obtain medical equipment for their healthcare needs.
02
This prescription is typically needed by patients who require durable medical equipment (DME) such as wheelchairs, oxygen concentrators, CPAP machines, walkers, or other medical devices.
03
It serves as a formal authorization for the patient to obtain the prescribed equipment from a supplier or healthcare provider.
04
In most cases, individuals who have been diagnosed with a medical condition that necessitates the use of specific equipment or devices will require this prescription.
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DME-13PDF new general prescription is a form used for prescribing durable medical equipment.
Healthcare providers such as doctors, nurses, and therapists are required to file dme-13pdf new general prescription.
DME-13PDF new general prescription can be filled out by providing patient information, prescribed equipment details, and healthcare provider signature.
The purpose of dme-13pdf new general prescription is to authorize the supply of durable medical equipment to patients.
Patient's name, address, diagnosis, prescribed equipment details, and healthcare provider information must be reported on dme-13pdf new general prescription.
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