HOW TO BECOME A PATIENT
Submit a Physician Referral to the following via
EMAIL: Respiratory HHC@Outlook.com
FORMS REQUIRED
-
Signed Release of Information Form
-
Patient Demographic Sheet
-
Plan Of Care (Include Respiratory History, Test, ABG's, Saturations Past and Present)
-
Doctors Order for Respiratory Home Care Service & Contact Information
-
DME Contact Information
BECOME A PARTNER
&
ENSURE PATIENTS ARE GETTING COMPLETE CARE
Available to Doctors & Homecare Affiliates
Contact for Contract Fee
PATIENTS FEE:
-
$110 ~First visit
-
$90 ~ Follow-Up Visits (1hr)
-
$10 ~ Added Travel Cost Beyond 30 Miles Outside of Downtown Dallas, Texas
**Prices can vary per case
Call us today:
1-972-855-8816
Email: RespiratoryHHC@Outlook.com
