Follow the steps to fill out the McKesson Breast Pump form successfully.

1. Press the ‘Get Form’ button to acquire the McKesson Breast Pump form, opening it in your preferred digital editor.
2. Begin by providing patient information. Fill in the patient's name, date of birth, and expected due date. Ensure that you specify if the patient has chosen McKesson Patient Care Solutions (MPCS) for this order.
3. Indicate the patient's preferred language by selecting one of the options: English, Spanish, or Other.
4. Complete the diagnosis section by entering the required ICD-10 code. Select an option such as Z39.1 for postpartum care, O92.5 for maintaining milk supply, or O92.70 for unspecified disorders of lactation. If the diagnosis is not listed, select 'Other' and provide the relevant code.
5. Specify the product to be ordered. Select ‘Double Electric Breast Pump (E0603)’ or another option if applicable.
6. Indicate the quantity of the breast pump needed by selecting either 'One' or 'Other' and specifying the quantity.
7. Complete the frequency of use and duration of use fields, ensuring to provide the valid pregnancy information regarding the due date.
8. Provide referral information if applicable, including the referral number and contact information for further communication.
9. Select a preferred contact method from phone, email, or fax for follow-up communications.
10. Confirm the order by certifying that the information is accurate and complete, including the signature of the ordering physician or licensed prescriber, their NPI number, and contact details.
11. Finally, save the completed form, and opt to download, print, or share as needed to ensure the order is processed.

Complete your McKesson Breast Pump order online today by following these detailed steps!