Delivery Confirmation Phoenix Medical Solutions, LLC. PO Box 231 Brooklandville, MD 21022-0231 (Toll Free) 855-825-8960(Fax) 866-242-4015 Delivery Confirmation This form serves as confirmation that the below patient has received the requested medical equipment from Phoenix Medical Solutions.Renter and/or Agent or Power of Attorney*Date* Date Format: MM slash DD slash YYYY Name of Patient* First Last Serial Number*Order No.*Signature 0 Comments Leave a Reply Click here to cancel reply. XHTML: You can use these tags: <a href="" title=""> <abbr title=""> <acronym title=""> <b> <blockquote cite=""> <cite> <code> <del datetime=""> <em> <i> <q cite=""> <s> <strike> <strong>
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