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How to fill out the Ihorm Form online
The Initial Home Oxygen Risk Mitigation Form (IHORM) is essential for ensuring safe oxygen delivery for new patients. This guide will walk you through the process of completing the IHORM online, ensuring that all required fields are filled correctly before submission.
Follow the steps to complete the IHORM Form accurately.
- Click the ‘Get Form’ button to access the IHORM Form. This action will allow you to open the form in your preferred online editor.
- Begin by entering the patient’s name and address in the designated fields. Ensure that all information is accurate and up-to-date.
- Fill in the patient’s date of birth (DOB) and NHS number. It is vital that these details are correct for proper identification.
- Indicate whether oxygen has been requested by selecting 'Yes' or 'No'. This section is crucial for determining the subsequent actions.
- Review the risk assessment section. Answer the questions regarding smoking, drug or alcohol dependency, and any recent falls or burns. Accurately capturing this information is essential for risk evaluation.
- If risks are identified, refer to the Required Action column to understand what steps need to be taken next. Follow any directives provided based on the risk levels indicated.
- Complete the declaration section by confirming that you are the healthcare professional responsible for the patient’s care. Sign and print your name.
- Lastly, ensure all fields are properly filled and save your changes. You can then download, print, or share the completed form as needed.
Start filling out the IHORM Form online today to ensure timely and safe oxygen delivery.
Use this form as a healthcare professional ordering patient oxygen for a home setting. Make sure you complete all sections accurately and legibly to avoid rejection. Mark (X) all options that apply (leave others blank). Include contact name and telephone number to resolve queries. Completed the Home Oxygen Consent.
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