(248) 354-5200Novi, Michigan
24/7 Service Available
Phoenix Medical Supply, Inc. — The Difference Is Caring

PHYSICIAN ORDERS

Oxygen Order

Oxygen concentrators, portable O2, and accessories. Submissions route directly to our intake team. Questions? Call (248) 354-5200.

Oxygen Order

Complete the patient, equipment and physician sections below.

PATIENT INFORMATION

CLINICAL & EQUIPMENT

ORDERING PHYSICIAN

Choose a different form