Puritan Bennett Companion T Dokumentacja Pobierz pdf (Strona 2)

701641 Rev. E

IMPORTANT INFORMATION ABOUT YOUR PRESCRIPTION

Date your unit was received: _________________________________________

Your name: _______________________________________________________

Prescribed oxygen flow setting: _______________________________________

• during sleep _________________________________________________

• at rest ______________________________________________________

• during exercise_______________________________________________

Doctor’s name: ____________________________________________________

Doctor’s phone number:_____________________________________________

Home care company’s name: _________________________________________

Home care company’s phone number: __________________________________

Emergency contact’s name: __________________________________________

Emergency contact’s phone number: ___________________________________

Special Instructions:

________________________________________________________________

Puritan Bennett Companion T Dokumentacja Strona 2