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Respiratory Care

Advancing respiratory health through innovative therapies

Hill-Rom® Respiratory Care

Hour Meter Reading Form

Fill out the form below and a member of the Hill-Rom Respiratory Care team will be in contact with you.

Hour Meter Reading Form
 
All information collected must be for the patient
 
 
 
 
Usage Information
 
Please type the reading from the total use display in the field below. The display reads to the tenth of the hour. Confirm your devices is turned on, at the Normal / Custom screen press the OFF button to obtain the hour meter reading.
 
 
Clinical Follow-Up
 
*required