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Get and Sign Alere Home Inr Enrollment Form

Get and Sign Alere Home Inr Enrollment Form

Please specify below: Any known allergies? Yes RELATIONSHIP: CELL PHONE: If yes, please specify below: No ORDER TAKEN BY: (Last Name, First, Middle Initial) TIME: DATE: Primary & Secondary Insurance Information YOU MAY CHOOSE TO FILL IN THE INSURANCE SECTION - OR TO SAVE TIMEYOU MAY FAX A COPY OF BOTH SIDES OF THE PATIENT'S INSURANCE CARD, OR FAX A SYSTEM PRINT-OUT OF THE PATIENT'S INSURANCE INFORMATION PRIMARY INSURANCE: NAME OF INSURED: (if other than the above patient) DATE OF...
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Instructions and help about mdinr enrollment form

kawaki check excess inr self-monitoring made easy the coagula accesed 'm offers a simple convenient and safe way of INR self-monitoring this video guide will show you how to use the meter properly please be sure to read your entire manual carefully before you use the mirror let's start with preparing the test please have the following items nearby the quagga check excess meter whoo check X SPT test strip container the code chip belonging to these test strips the kawaii check soft clicks lancing device the co a check soft clicks lancets now we will look at the front of the meter press the on/off button to turn the meter on or off press the M button to view the previous results stored in the memory and to change the meter settings press the set button to enter or change the meter settings at the back of the meter is the battery compartment cover you can use for 1.5 volt triple-a type batteries when inserting the batteries please ensure the meter is turned off the code chip slot is on the

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