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How to fill out the 888 693 2401 online
Filling out the 888 693 2401 form online can streamline the patient enrollment process for iRhythm Technologies' Zio™ products. This guide will provide you with detailed, step-by-step instructions to help you complete the form accurately and efficiently.
Follow the steps to successfully complete the form online.
- Click the ‘Get Form’ button to access the online form and open it in an appropriate editor.
- Begin by indicating if the patient has used an iRhythm product before by selecting 'Yes' or 'No' in the designated section.
- Fill out the ACCOUNT INFORMATION section, including the account name, phone, fax, address, city, state, and ZIP code.
- Provide the PATIENT INFORMATION including the patient's name (last, first), patient ID if applicable, birth date, address (no P.O. Box numbers), primary and secondary phone numbers, email address, and sex.
- Complete the questions regarding the patient's medical devices: indicate if the patient has a pacemaker or an implanted cardiac defibrillator by selecting 'Yes' or 'No.'
- In the SERVICE INFORMATION section, enter the monitoring start date and select the appropriate device ('Zio™ Event Card' or 'Zio™ Patch').
- Specify whether iRhythm staff will provide enrollment service and if the device will be sent directly to the patient by checking 'Yes' or 'No.'
- Select the reason for prescribing the device from the list provided. If applicable, add any other reasons in the 'Other' section.
- Once all sections are complete, review your entries to ensure accuracy before saving changes, downloading, printing, or sharing the completed form.
Start completing your documents online today.
Yes, iRhythm is a legitimate company specializing in cardiac monitoring solutions. They have established a strong reputation within the healthcare industry. For inquiries or more information, you can always reach out to them at 888 693 2401.
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