Order Overnight Oximetry

This order form is for health care professionals only.
If you are a member of the public and think you may need
home oxygen, please speak to your doctor.

 
1 Start 2 Complete
Oximeter Request
Order faxed to 1-306-343-7007?
Client Info
Is client on oxygen? *
Oxygen type *
Client is considered stable as per SAIL guidelines? *
Tester Info
#
Oximeter Shipping Address
, Saskatchewan
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Page Last Updated: 24/08/2017