Patient Intake Form (pdf)
DME Notice of Privacy Practices (pdf)
DME Plan of Care and Instruction Sheet (pdf)
Assignment of Benefits (pdf)
Notification of Information Practices 2024 (pdf)
Health Depot DME
1210 Cavanaugh Rd, Fort Smith, AR 72908
Phone: 479-649-9500 Fax: 479-649-9504
Copyright © 2024 Health Depot DME - All Rights Reserved.
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