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Distributor Resources


INSIGHT


For Distributors

The INSIGHT Training Portal contains training courses/videos that will arm you with the knowledge necessary to have high-level conversations with clinicians on how to identify at-risk respiratory patients and how the AffloVest can be used as a preventative therapy.

INSIGHT Training Portal

FORMS


Prescription Order Form

Use this simple Medicare checklist to determine whether your patients meet the guidelines for Medicare, Medicaid, and Private insurance reimbursement. Use the Prescription form on the back to place an AffloVest Order.

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Fax Cover Sheet

Use this Fax Cover Sheet when submitting orders to AffloVest to ensure all patient and order information is submitted correctly and in a timely manner.

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Return Material Authorization Form

This form is for DME use to return or exchange AffloVest for any warranted repair or size exchanges.

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