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Conditions
Bronchiectasis
Cystic fibrosis
Neuromuscular
Therapies
InCourage
CoughAssist
Clinical
Coverage
Forms
About us
Contact us
Stories
Veteran affairs
Forms
RespirTech forms and resources
Click on forms below to download and print pdfs.
Resources for healthcare providers and patients
Philips InCourage system
Vest therapy Rx form
(80.0KB)
Medicare covered diagnoses for the InCourage system
(517.0KB)
InCourage system instruction manual (English)
(3.16MB)
Coverage criteria for the InCourage system
(210.0KB)
InCourage system instruction manual (Spanish)
(3.49MB)
Documentation requirements for Philips InCourage vest therapy
(125.0KB)
Vest therapy patient selection criteria
(447.0KB)
Philips Respironics CoughAssist T70
Mechanical Insufflation-Exsufflation Rx form
(72.0KB)
Medicare covered diagnoses for CoughAssist
(405.0KB)
CoughAssist instruction manual
(2.87MB)
CoughAssist patient selection criteria
(112.0KB)
Patient forms
Notice of Privacy Practices – English
(174.0KB)
Notice of Privacy Practices – Spanish
(184.0KB)
Notice of Privacy Practices – French
(166.0KB)
Medicare DMEPOS Supplier Standards – English
(98.0KB)
Medicare DMEPOS Supplier Standards – Spanish
(106.0KB)
Patient Bill of Rights – English
(41.0KB)
Patient Bill of Rights – Spanish
(119.0KB)
Patient Emergency Preparedness
(29.0KB)
Patient Consent form (EN)
(302.0KB)
Patient Consent form (ES)
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