Patrick Silmon
Batavia, IL *****
***************@*****.***
Professional Summary
I've achieved several awards during the course of my journey,Driver of the year award,& many more
Skills
Adaptable scheduling
Mechanical tools
Patience and tolerance
Work History
September 2007 - Current
M.V TRANSPORTATION - Batavia, IL
Transit Bus Driver
Transport passengers to different locations in a safe manner
Education
Steinmetz H.S 3030 North Mobile Street
No Degree Mathematics
CPAP Prescription Letter Of Medical Necessity
Patient Information
Patient Name:
DOB:
BMI:
Stop Bang Score:
Neck Circ:
Patient Office ID:
Gender:
Mobile Phone:
Insurer:
Prescription
Diagnosis:
Machine Type:
Pressure or Pressure Range:
Humidifier:
Filter replacement every 6 weeks
CPAP Mask/Interface/Delivery System:
Nasal cushion replacement every 4 weeks
Length of Prescription (Years):
Patient Education (61530):
The above-referenced patient has an absolute medical necessity for the management of Obstructive Sleep Apnea. I certify the prescribed treatment is the recommended standard medical practice. The patient should establish care with a sleep physician to adjust CPAP pressure and for follow-up care.
Interpreting Physician Details
Physician Name:
Address:
City:
State:
Zip Code:
Phone:
Fax:
NPI:
License:
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