Oxygen prescription form 2025

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2015 4.3 Satisfied (29 Votes)
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Your doctor provides a prescription saying that you require supplemental oxygen and/or have a severe lung disease. Your medical documentation indicates that you are mobile in your home and would benefit from the use of a portable system.
An arterial PO2 at or below 55 mm Hg or an arterial oxygen saturation at or below 88%, taken during exercise [defined as either the functional performance of the patient or a formal exercise test], for a patient who demonstrates an arterial PO2 at or above 56 mm Hg, or an arterial oxygen saturation at or above 89%,
Your doctor must provide proof that they recently examined you, along with a detailed diagnosis, explanation of why you require supplemental oxygen and a prescription for your oxygen use, which includes information regarding your flow rate, duration and frequency of use and duration of need.
How Do You Get an RX for an Oxygen Concentrator? Talk to your doctor if you think you may need a prescription for an oxygen concentrator. If necessary, your doctor will perform tests to evaluate your blood oxygen levels. Your doctor may even test to see if blood oxygen levels change during exercise or sleep.
Home oxygen can only be prescribed by an authorised prescriber from the hospital, including a: respiratory consultant. paediatrician. neurologist.
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Your prescription should include this information: A diagnosis, which should explain why you require oxygen therapy. Information about the flow dosing (continuous versus pulse dose) Information regarding recommended oxygen dosage (liters per minute for continuous flow or milliliters per breath for pulse dose)
Eligible prescribers Initial applications and re-applications can be prescribed by the following specialists: thoracic physician; specialist physician; oncologist; palliative care physician; respiratory nurse practitioner (with designated specialist endorsement).

oxygen prescription form