top of page
Doctor With Patient

Equipment Ordering Made Easy

Forms

CPAP Detailed Written Order

Order Form used to prescribe CPAP equipment and supplies

Form

Respiratory Detailed Written Order

Order Form used to prescribe Respiratory Equipment

Form

DME Detailed Written Order

Order Form used to prescribe Durable Medical Equipment (DME)

Form

Submitting Forms

Prescribers can fax completed forms and clinical notes to 256-533-6931, or by e-prescribing through Parachute Health. 

bottom of page