Afflovest Order Form - Web prescription and written order (high frequency chest wall oscillation e0483) fax: How does afflovest® mimic manual cpt? 866.569.1912 afflovest.com tactile medical 3701 wayzata blvd, suite 300 minneapolis, mn 55416 usa * afflovest requires a doctor’s prescription for treatment by high frequency chest wall oscillation (hfcwo). Web by providing this form to an authorized afflovest distributor, i acknowledge that the patient is aware that he or she may be contacted by said distributor for any additional information to process this order. Frequency of use airway clearance therapy tried & failed. 3701 wayzata blvd, suite 300. For product support, please contact your durable medical equipment provider first. It includes patient information, diagnosis codes, treatment history, and protocol details. Web prescription / written order prior to delivery.
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