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Patient agreement to sharing information (as part of the supply of Oxygen by the Home Oxygen Service) Form issued by: Unit/SurgeryAddressContact name Tel no.PostcodePatient NameAddressD.O.B. NHS number
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How to fill out initial home oxygen risk

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How to fill out initial home oxygen risk

01
Obtain a prescription for home oxygen therapy from your healthcare provider.
02
Contact a durable medical equipment provider to set up an evaluation appointment.
03
During the evaluation, provide your medical history, current symptoms, and any test results related to your oxygen levels.
04
Follow any additional instructions given by the healthcare provider or equipment provider to ensure proper setup and use of the home oxygen system.

Who needs initial home oxygen risk?

01
Individuals diagnosed with conditions such as chronic obstructive pulmonary disease (COPD), emphysema, pulmonary fibrosis, or other respiratory illnesses that require supplemental oxygen therapy.
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Initial home oxygen risk refers to the assessment and documentation of risks associated with prescribing home oxygen therapy to patients. It evaluates factors that could affect the patient's safety and the effectiveness of the treatment.
Healthcare providers such as physicians and respiratory therapists who prescribe home oxygen therapy are required to file initial home oxygen risk assessments.
To fill out the initial home oxygen risk, providers must complete a standardized form that includes patient history, current medical conditions, and specific risk factors related to home oxygen use.
The purpose of initial home oxygen risk is to identify potential safety concerns and to ensure that appropriate measures are taken to mitigate those risks before administering home oxygen therapy.
The information that must be reported includes patient demographics, medical history, risk assessment findings, and recommendations for oxygen therapy.
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