Oxygen concentrator form 2025

Get Form
airline oxygen form Preview on Page 1

Here's how it works

01. Edit your airline oxygen form online
Type text, add images, blackout confidential details, add comments, highlights and more.
02. Sign it in a few clicks
Draw your signature, type it, upload its image, or use your mobile device as a signature pad.
03. Share your form with others
Send airline oxygen form pdf via email, link, or fax. You can also download it, export it or print it out.

How to use or fill out oxygen concentrator form with our platform

Form edit decoration
9.5
Ease of Setup
DocHub User Ratings on G2
9.0
Ease of Use
DocHub User Ratings on G2
  1. Click ‘Get Form’ to open the oxygen concentrator form in the editor.
  2. Begin by filling out the 'Passenger Information' section. Ensure you provide accurate details about your Portable Oxygen Concentrator, including its condition and battery supply for the journey.
  3. Next, move to the 'Physician's Statement' section. Here, your physician will need to answer specific questions regarding your ability to use the device and whether oxygen is medically necessary during all phases of travel.
  4. Ensure that your physician completes their information, including their name, telephone number, signature, and date at the bottom of the form.
  5. Review all entries for accuracy before saving or printing the completed form. Retain a copy for your records and be prepared to present it when traveling.

Start using our platform today for free to easily complete your oxygen concentrator form!

See more oxygen concentrator form versions

We've got more versions of the oxygen concentrator form form. Select the right oxygen concentrator form version from the list and start editing it straight away!
Versions Form popularity Fillable & printable
2015 4.8 Satisfied (185 Votes)
2012 4 Satisfied (48 Votes)
be ready to get more

Complete this form in 5 minutes or less

Get form

Got questions?

We have answers to the most popular questions from our customers. If you can't find an answer to your question, please contact us.
Contact us
There are two types of oxygen concentrators: stationary and portable [9, 10]. Stationary (home) concentrators provide an uninterrupted oxygen supply with a flow ranging from 0.5 to 1015 Lmin1.
The Medicaid programs in many states cover up to 100% of the cost of a portable oxygen concentrator. The cover is for oxygen therapy. It must be medically necessary and fits the states DME definition. For coverage amount and qualification, contact your state Medicaid agency.
Portable Oxygen Concentrators. Per the Federal Aviation Administration, certain portable oxygen concentrators are permitted onboard the aircraft, including Inogen One, Sequal Eclipse, Airsep Lifestyle.
You can use an FAA-approved portable oxygen concentrator (POC). You cant use compressed gas or liquid oxygen on the plane. When you make your reservation, tell the airline that youll be using oxygen during the flight. Bring extra POC batteries and your own nasal prongs.
Pursuant to Federal Aviation Regulations, a customer who would like to use a portable oxygen concentrator unit on board an airline must obtain a written statement from his or her physician answering the questions listed below.

People also ask

Most airlines require you to complete an oxygen physicians statement form to board and fly on their airline with a portable oxygen concentrator. In most cases, you must provide at least 48 hours (72 hours for certain destinations) advance notice and obtain submit the Oxygen Physicians Statement before travel.

oxygen concentrator form pdf