Learn about and order your intermittent catheters, incontinence supplies, VEDs and other home medical equipment and supplies.
| PDF forms can be printed and faxed to any of our three locations. Download Adobe Reader here. | ||
| Form Name | Description | Type |
Category: Medical Documentation & Coverage Criteria |
||
| Medicaid DME Certification and Receipt | ||
| Medicaid Title XIX Physician's Order Form | ||
| Medicare Coverage Criteria Catheters | ||
| Medicare Coverage Criteria for PMDs | ||
| Medicare Documentation of Continued Medical Necessity | ||
| Medicare Physician's Order for Power Mobility | ||
| Medicare Power Mobility Referral Process | ||
| Ulcer Assessment for Support Services | ||
Category: Order Forms |
||
| Christus Santa Rosa Order Form | ||
| CPAP Order Form | ||
| Medicare APM orders | ||
| Medicare gel mattress overlay orders | ||
| Medicare wheelchair cushion orders | ||
| Orthotics Order Form | ||
| Physician Order Form | ||
| Urological Order Form | ||
Category: Catheters |
||
| Clinical Studies on Hydrophilic Catheters | ||
| Medicare Reimbursement of Catheters | ||
| Washington Post Article on Reusing Single Use Devices | ||
Category: In-Network Insurance Lists |
||
| Corpus Christi Branch | ||
| Insurance List San Antonio | ||