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Oxygenotherapy request
Oxygenotherapy request
Request date
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Pharmacy
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APB
Phone pharmacy
Short-term home oxygenotherapy contract
Medical oxygen gaz bottles
Oxyconcentrator
Patient address
Patient address
Land
- Nicht festgelegt/ausgewählt -
Belgien
Birthdate
Patient phone
Patient mobile
Flowrate
Hours per day
Humidifier
yes
no
Patient can benefit from third-party regime
yes
no
Patient can benefit from cluster headache reimbursement
yes
no
The pharmacy asks Oxysphair for individual refills
Oxysphair provides a delivery scheme based on patient usage and follow the scheme until the pharmacist requests to stop it.
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