Physician Resources

  • EZ Scripts
  • Face To Face Documentation Requirements
  • Other Patient Services

We make it convenient to fax an E-Z Script order:

1) Download the appropriate EZ Script below for your patients needs.

2) FAX the forms to BMS FAX Toll Free: 1-800-952-5352

3) Please print out an EZ script below and complete the required information:

  • Date and Start Date and Length of Need
  • Patient Name and Address Demographics
  • Patient Date of Birth
  • Patient Height & Weight
  • Fill Out the Appropriate Order Information
  • Include any insurance or testing information with your order form
  • Physician Printed Name and Signature are also Required
  • Physician NPI number is also Required
Please review the E-Z Script form options and fill out the required information on the appropriate E-Z Script form as per this example.

Click on the appropriate E-Z Script below to download and print out:

 Respiratory EZ ScriptAerosol Treatment, Oximetry, Oxygen, Sleep Equipment

 Nursing EZ ScriptTens, Photo Therapy, CPM, Enteral, Suction, Lymphadema

 Support Surface EZ ScriptAlternating Pressure Pad/Pump, Low Air Loss, Hospital Bed

 HME EZ ScriptAids to Daily Living, Hospital Bed, Incontinence Supplies, Wheelchairs

 Post Mastectomy EZ ScriptSupplies, Compression Garments, Lymphedema Pumps

 Power Mobility EZ Script: Power Mobility Equipment

 Sleep Equipment EZ ScriptCPAP/BiPBP - Sleet Apnea Equipment

 Afflovest Patient ScriptAfflowvest High Frequency Chest Wall Oscillation (HFCWO) Vest

 Afflovest Medicare ChecklistAfflowvest Checklist

View Face to Face Documentation Requirements below:

(click the appropriate product below)

BMS Offers TENS and Phototherapy

PHOTOTHERAPY.
TENS Units

Have a question or need information? Just call 800-443-3390!

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