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I m p o r t a n t I n f o r m a t i o n
A b o u t Yo u r P r e s c r i p t i o n
Your name: ________________________________________
Doctor’s name: _____________________________________
Doctor’s phone number: ______________________________
Date your H300-50 Portable was received: _______________
Prescribed oxygen flow setting:
•
during sleep
•
at rest
•
during exercise
Homecare Provider’s name: ___________________________
Homecare Provider’s phone number: ____________________
Emergency contact’s name: ___________________________
Emergency contact’s phone number: ____________________
Special Instructions:
__________________________________________________
__________________________________________________
__________________________________________________
__________________________________________________
__________________________________________________
_________________________________________________
_________________________________________________
_________________________________________
Summary of Contents for HELiOS PLUS H300-50
Page 1: ...HELiOS PLUS Model H300 50 Home Use Guide ...
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Page 49: ... 200 5 QF All rights reserved 10003162 Rx ONLY ...