Shiley custom order form: Fill out & sign online

Here's how it works

01. Edit your 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 it via email, link, or fax. You can also download it, export it or print it out.

How to use or fill out shiley custom order form with our platform

Ease of Setup

DocHub User Ratings on G2

Ease of Use

DocHub User Ratings on G2

Click ‘Get Form’ to open the shiley custom order form in the editor.
Begin by selecting whether this is a new order or a re-order. Check the appropriate box under 'ORDER'.
Indicate the product type by checking either 'NON-STERILE' or 'STERILE'. Then, enter the quantity of custom tracheostomy tubes you wish to order in the provided field.
Fill in the physician's name and patient name in their respective fields. If this is a re-order, include the previous lot number for reference.
Complete the shipping instructions by providing the address, city, state, and zip code where the products should be sent.
Review all selections made for size, flange type, cannula curve, and fenestration options. Ensure all measurements are accurate before finalizing your order.

Start filling out your shiley custom order form today for free using our platform!

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

Is it secure to sign my shiley custom order form electronically?

You need to use only trusted software solutions with strong security compliance to approve your paperwork electronically. DocHub is just the type of editor you need! It stores data on Amazon Web Servers and complies with all essential security criteria and eSignature regulations, so it’s a reliable way to electronically sign your shiley custom order form or other forms with this tool.

How to fill out shiley custom order form online for free in 2024?

With a swift editing platform like DocHub, you do not need anything but a web browser and connection to the internet to edit your shiley custom order form online swiftly. Add your file or get the relevant form in DocHub’s catalog, open our editor with a single click, and complete it electronically. To edit your forms at any time, register a free profile with DocHub.

How often are trach cannulas changed?

Most manufacturers recommend that tracheostomy tubes be changed approximately 30 days after placement.

Are Shiley Trachs reusable?

Shiley\u2122 Flexible Adult Tracheostomy Tubes, with Disposable or Reusable Inner Cannula.

Who manufactures Shiley tracheostomy tubes?

Shiley\u2122 is a brand of tracheostomy tubes manufactured by Medtronic, formerly Covidien. The Shiley\u2122 brand is a global line of tracheostomy solutions with many options to meet individual patient needs.

Security and compliance

At DocHub, your data security is our priority. We follow HIPAA, SOC2, GDPR, and other standards, so you can work on your documents with confidence.

Learn more

What is the difference between Shiley and Portex?

A size 8.0 Portex\u2122 Blueline Ultra\u2122 tube has a stomal length of only 9mm, is set at an angle of 90 degrees and is 75mm in length. A standard Shiley\u2122 tube has a continuous curve (so has no fixed stomal length), an overall angle of 135 degrees and is 81mm in length.

Who makes Shiley Trachs?

Shiley\u2122 is a brand of tracheostomy tubes manufactured by Medtronic, formerly Covidien. The Shiley\u2122 brand is a global line of tracheostomy solutions with many options to meet individual patient needs.

What is the difference between Shiley and Portex?

A size 8.0 Portex\u2122 Blueline Ultra\u2122 tube has a stomal length of only 9mm, is set at an angle of 90 degrees and is 75mm in length. A standard Shiley\u2122 tube has a continuous curve (so has no fixed stomal length), an overall angle of 135 degrees and is 81mm in length.

Are Shiley Trachs being discontinued?

As of September 30, 2021, Medtronic will discontinue the manufacture and distribution of the legacy Shiley\u2122 disposable and reusable cuffed and cuffless tracheostomy tube product portfolio.

How do you clean a Shiley tracheostomy?

Mix equal parts of sterile water and peroxide. This is half-strength peroxide. 2. Wash trach tube with warm tap water and a mild soap such as Ivory® Liquid to clear the secretions, rinse the trach tube with warm tap water.

Shiley custom order form 2026

Here's how it works