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Medical Order Form - ZOLL

    https://lifevest.zoll.com/sites/default/files/zoll_lifevest_medical_order_form_us-f.pdf
    2. Submit the following to ZOLL by fax to 1-866-567-7615 or by email to [email protected]. • Completed Medical Order Form • Clinical documentation …

How to Order a LifeVest | ZOLL LifeVest

    https://lifevest.zoll.com/medical-professionals/how-order-lifevest
    How to Order LifeVest. To order a LifeVest ® wearable cardioverter defibrillator (WCD), you have the choice of using the Medical Order form, placing a chart order, or placing a …

Medical Order Form - ZOLL

    https://lifevest.zoll.com/sites/default/files/ZOLL_LifeVest_Medical_Order_Form_US-E.PDF
    90H0003 Rev B Submi˜ng a Medical Order 1. Complete the LifeVest Medical Order form. Please note that ALL FIELDS must be completed and the order form must be SIGNED …

Request Information | ZOLL LifeVest

    https://lifevest.zoll.com/medical-professionals/request-information
    For LifeVest customer support, technical support, or medical orders please call 800.543.3267. Medical orders and supporting documentation can be faxed to …

Supporting Documentation for Medical Order, Chart Order, …

    https://lifevest.zoll.com/-/media/lifevest-zoll-com/medical-professionals/how-order-lifevest/chart_order_instructions_us-h.ashx
    To order a LifeVest system, you may complete a Medical Order, a Chart Order, or place a Verbal Order. In each case, documentation is required to support the diagnosis and …

ZOLL LifeVest Wearable Defibrillator | ZOLL Medical …

    https://lifevest.zoll.com/
    Contact ZOLL 24 hours a day, 7 days a week. [email protected]. For LifeVest customer support, technical support, or medical orders please call 800.543.3267. …

this fax was received. - ZOLL

    https://lifevest.zoll.com/-/media/lifevest-zoll-com/medical-professionals/how-order-lifevest/faxcover.ashx
    Submit the following to ZOLL by fax to 1-866-567-7615 or by email to [email protected]_ Completed Medical Order Form Clinical documentation …

erbal Order Instructions - ZOLL

    https://lifevest.zoll.com/-/media/lifevest-zoll-com/medical-professionals/how-order-lifevest/verbal_order_instructions_for_physicians_2-08.ashx
    The following items should be faxed to ZOLL Lifecor at 1-866-567-7615 (toll-free): hospital face sheet (includes patient address, DOB, phone, and insurance details) supporting …

LifeVest Wearable Cardioverter …

    https://www.zoll.com/products/wearable-defibrillators
    LifeVest Wearable Defibrillator. The LifeVest ® wearable cardioverter defibrillator (WCD) provides lifesaving therapy and peace of mind for patients at risk of sudden cardiac …

Contact Customer Support - Contact Us

    https://www.zoll.com/contact/customer-service
    Medical Device Software ... Our quality processes in order management and call handling have made us a leader in implementing customer satisfaction and retention …



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