Healthcare Practitioners

Physicians, Nurse Practitioners and Registered Respiratory Therapists may download and print the MOH First Time Home Oxygen Therapy Form for first access patients to home oxygen therapy.

Physician, or Nurse Practitioner, or Registered Respiratory Therapist signatures are required on all First Time Access forms on page 4 of 5, Section 4-Signatures.

Referring Physicians or Nurse Practitioners must still fax Complete Healthcare Solutions a signed referral form, letter, or prescription requesting an oxygen assessment and/or set up.

Please note our office completes and mails or delivers all necessary paperwork for Physician or Nurse Practitioner signatures along with Respiratory Assessment Reports and any relevant test results for review.

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Download Documents Here:

Patient Referral Form Sudbury Download >
Patient Referral Form North Bay Download >
MOH Application for Funding Respiratory Equipment & Supplies Download >
MOH First Time Home Oxygen Therapy Form Download >
Home Oxygen Program Medial Criteria Download >

Oxygen & Sleep Apnea Case Studies

Fast Facts About Sleep Apnea Download >
Obstructive Sleep Apnea and driving Download >