Patient Information

Patient's Rights and Responsibilities

To ensure you are provided with the highest quality of care you will recieve the Patient's Rights and Responsibilities form. This form details what you can expect from Home Parenteral Services and outlines your responsibilites through the duration of your treatment.

CoxHealth Notice of Privacy Practices

The Notice of Privacy Practices is intended to inform you about our practices related to the protection of the privacy of your medical records.

Medicare DMEPOS Supplier Standards

We are an accredited organization and adhere to all the standards required in order to obtain and retain our ability to bill Medicare.

Therapy Instructions form

You will recive a detailed step by step teaching sheet on how to administer your medication. This is an educational tool for your specific therapy, and includes 24 hours per day/ 7 days a week Home Parenteral Services contact information.

Authorization to Treat

The Authorization to Treat gives Home Parenteral Services the authority to provide you with care, tells us which medical doctor to accept orders from, and describes your financial responsibility to us which we determine by checking your insurance.

For Adult Patients: Advance Directive

The Advance Directive form is your acknowledgment to us as to if you have an Advance Directive, allowing us to comply with your wishes.

Springfield

2220 W. Sunset
Springfield , MO 65807
417-887-7525

Joplin

500 E. 32nd St.
Joplin , MO 64804
417-781-3773

800-637-9201