Patient Information Change Forms Physician Change Form
Please help us keep our records updated. Every 6 months Medicare
requires us to acquire a new Physician's Order for your file. We will
automatically mail this form to your doctor's office. If your doctor has
relocated or you have changed physician's, this may delay the receipt of this
document. Medicare will not allow us to ship supplies if this document has
expired, so your assistance in keeping your records updated will help ensure
your supplies will be received in a timely manner. Thank you.
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