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PHONE: 1.888.248.1975 FAX: 1.888.248.2026 EMAIL: connect chcsolutions.com CONTINUUM CONNECT OXYGEN ORDER FORM **Please attach face sheet w/ patient demographics & insurance info**PATIENT INFORMATION
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How to fill out patient cannot accept deliveries

01
Instruct the patient to specify their inability to accept deliveries in the patient's information form.
02
Provide clear instructions for alternative delivery options, such as requesting assistance from family members, neighbors, or friends.
03
Advise the patient to communicate their situation to the healthcare provider or clinic, so that appropriate arrangements can be made for medication pick-ups or home visits if necessary.
04
Ensure that the patient has access to reliable transportation services or public transportation options, so they can personally collect essential items or medical supplies when needed.

Who needs patient cannot accept deliveries?

01
Patients who have physical disabilities preventing them from accepting deliveries at their residence.
02
Patients who live alone and have no one available to receive deliveries on their behalf.
03
Patients who are unable to leave their residence for medical or health reasons, making it necessary to arrange alternate means for receiving necessary items.
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It refers to a situation where a patient is unable to receive or accept medical deliveries or services, often due to specific conditions or restrictions.
Healthcare providers or organizations responsible for managing patient care are generally required to file the necessary documentation regarding patients who cannot accept deliveries.
To fill out this documentation, include patient details, reasons for inability to accept deliveries, and ensure all required fields are completed accurately.
The purpose is to document and communicate the reasons a patient cannot accept deliveries, ensuring appropriate care and management decisions are made.
Information such as patient identification, reasons for non-acceptance, potential alternatives, and any relevant medical history must be reported.
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