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Hyperbaric Oxygen Therapy OUTPATIENT REFERRAL FORM FAX this referral form to 18557420217 for appointment. Scheduling questions: 18665968456 Staff and procedure .

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Hyperbaric oxygen therapy (HBOT) is a type of treatment used to speed up healing of carbon monoxide poisoning, gangrene, wounds that won't heal, and infections in which tissues are starved for oxygen.

For this therapy, you enter a special chamber to breathe in pure oxygen in air pressure levels 1.5 to 3 times higher than average. The goal is to fill the blood with enough oxygen to repair tissues and restore normal body function.

The conditions approved by the Undersea and Hyperbaric Medical Society for hyperbaric oxygen therapy include: Decompression sickness. Acute arterial gas emboli. Necrotizing fasciitis. Gas gangrene. Refractory osteomyelitis. Acute blood loss anemia. Failed skin grafts. Chronic radiation injury.

Signed physician orders. History of present illness to include clinical documentation of diagnosis; symptoms supporting the medical necessity of services (including, if applicable, wound grade classification per Wagner scale). HBO progress notes (including measurable signs of healing).

Just like prescription medicine, hyperbaric chambers require a prescription because they can be potentially harmful if not used under the supervision of a licensed health care practitioner. A prescription from your doctor ensures that you are a candidate for HBOT and will have the necessary guidance.

Haase and DeLeon recommend knowing these five facts before entering a hyperbaric oxygen chamber for therapy: Don't arrive sick to the appointments. ... Certain medications should be avoided ahead of time. ... Expect to be there for a few hours. ... You may feel like you're on an airplane at first.

Your health care provider may suggest hyperbaric oxygen therapy if you have one of the following conditions: Severe anemia. Brain abscess. Bubbles of air in your blood vessels, known as arterial gas embolism. Burns. Carbon monoxide poisoning. Crushing injury. Deafness, sudden. Decompression sickness.

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© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232
Form Packages
Adoption
Bankruptcy
Contractors
Divorce
Home Sales
Employment
Identity Theft
Incorporation
Landlord Tenant
Living Trust
Name Change
Personal Planning
Small Business
Wills & Estates
Packages A-Z
Form Categories
Affidavits
Bankruptcy
Bill of Sale
Corporate - LLC
Divorce
Employment
Identity Theft
Internet Technology
Landlord Tenant
Living Wills
Name Change
Power of Attorney
Real Estate
Small Estates
Wills
All Forms
Forms A-Z
Form Library
Customer Service
Terms of Service
Content Takedown Policy
About Us
Blog
Affiliates
Contact Us
Privacy Notice
Delete My Account
Site Map
Industries
Forms in Spanish
Localized Forms
State-specific Forms
Forms Kit
Legal Guides
Real Estate Handbook
All Guides
Prepared for You
Notarize
Incorporation services
Our Customers
For Consumers
For Small Business
For Attorneys
Our Sites
US Legal Forms
USLegal
FormsPass
pdfFiller
signNow
airSlate workflows
DocHub
Instapage
Social Media
Call us now toll free:
+1 833 426 79 33
As seen in:
  • USA Today logo picture
  • CBC News logo picture
  • LA Times logo picture
  • The Washington Post logo picture
  • AP logo picture
  • Forbes logo picture
© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232