top of page

PATIENT FORMS

Screen Shot 2020-01-09 at 3.32.00 PM.png

MEDICARE SUPPLIER STANDARDS

Screen Shot 2020-01-10 at 9.02.45 AM.png

HIPAA

PRIVACY

Screen Shot 2020-01-10 at 9.02.34 AM.png

CUSTOMER RIGHTS AND

RESPONSIBILITIES

ASSIGNMENT/SIGNATURE 

ON FILE AGREEMENT

Screen Shot 2020-01-09 at 3.32.22 PM.png

SAFETY IN

THE HOME

Screenshot 2023-08-19 at 12.59.53 PM.png

Call: 419-224-5410

Fax: 419-222-6566

1378 Bellefontaine Ave

Lima, OH 45804

Find us on Facebook!

  • Facebook - White Circle
BBB-Logo.png

© 2022 by ADAPTIVE MEDICAL MARKETING INC.

Proudly created by .eloise. design co.

bottom of page