Referral Resources
Downloads
Bellevue Healthcare Order Forms
- General Order Form (pdf) | Editable (pdf)
- Wheelchair Order Form (pdf) | Editable (pdf)
- Respiratory Order Form (pdf) | Editable (pdf)
- Respiratory: CPAP/BIPAP Order Form (pdf) | Editable (pdf)
- Non-Invasive Ventilator Order Form (pdf)
- HRSA Rx Form (pdf) | Editable (pdf)
Manuals and Guides
Equipment Specific Guides
Medicare Guides
Complex Rehab Resources
- Standard Written Order for Power Wheelchair (pdf)
- Face to Face Guide – Power Wheelchair (pdf)
- Face to Face Guide – Manual Wheelchair (pdf)
- Letter of Medical Necessity Guide – Power Wheelchair (pdf)
- Letter of Medical Necessity Guide – Manual Wheelchair (pdf)
- Seating and Accessories Justifications (pdf)
- Specialty Cushion Flow Chart (pdf)
Smart Phrases
DME Face-to-Face Encounter Clinical Findings & Progress Notes Made Easy
Equipment Videos
Learn How to Safely Setup and Operate Equipment
Provider & Referral FAQ
How quickly can BHC deliver equipment to my patients?
We strive to provide same or next day delivery of our partners and their patients.
What do we do if our patient(s) needs equipment or oxygen after hours?
Bellevue Healthcare has local on-call support 24/7. Please call your nearest Bellevue Healthcare location and leave a detailed message.
An on-call manager will return your call within 1 hour.
Does BHC offer special pricing for facilities or hospice?
Yes, BHC does offer special pricing and agreements for facilities and hospice. Please contact our business development team to discuss becoming one of our partners.
Does BHC offer CEU opportunities?
Yes, BHC has CEU opportunities available, please contact us for more information.