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Overnight Oximetry Request
Prescription Order Form
Phone: (352) 2932810Nationwide CMS Approved Independent Diagnostic Testing Facility: (352) 2749122Patient Information
Patient Name: ___ Male Female
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How to fill out overnight oximetry - order

How to fill out overnight oximetry - order
01
Obtain a prescription from a healthcare provider for an overnight oximetry study.
02
Contact a medical equipment provider to set up the order for the overnight oximetry equipment.
03
Provide necessary personal information and insurance details to the medical equipment provider.
04
Schedule a convenient time for the overnight oximetry study to be conducted at home.
05
Follow the instructions provided by the medical equipment provider on how to properly use the overnight oximetry equipment during the study.
06
Return the equipment to the provider as instructed after the study is completed.
Who needs overnight oximetry - order?
01
Individuals who have symptoms of sleep disorders such as sleep apnea
02
Patients who have been diagnosed with a respiratory condition and require monitoring of their oxygen levels during sleep
03
Those who have undergone surgery or have a medical condition that affects their breathing and require overnight monitoring of their oxygen saturation levels
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What is overnight oximetry - order?
Overnight oximetry order is a medical request for monitoring a patient's blood oxygen levels during sleep using a pulse oximeter.
Who is required to file overnight oximetry - order?
Healthcare providers, such as physicians or sleep specialists, who are evaluating patients for conditions like sleep apnea or other respiratory issues are required to file overnight oximetry orders.
How to fill out overnight oximetry - order?
To fill out an overnight oximetry order, the healthcare provider should include patient identification information, medical history, reason for the test, and specific instructions for the monitoring device.
What is the purpose of overnight oximetry - order?
The purpose of an overnight oximetry order is to assess a patient's oxygen saturation levels during sleep to diagnose sleep disorders, such as obstructive sleep apnea.
What information must be reported on overnight oximetry - order?
The report must include baseline oxygen saturation, desaturation events, average oxygen saturation during sleep, and any abnormal findings.
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