Thank you for choosing Healthcare HD online eSignature service to digitally sign your Patient Packet Forms. Your signature on these forms is mandatory to ensure compliance and to continue receiving any monthly supplies. Please fill out and digitally sign each of these forms below:

1. Provider Satisfaction Survey
2. Patient Bill of Rights
3. Patient Responsibilities.

At Healthcare HD, we are committed to providing the highest quality medical supplies and equipment while being mindful of expenses.
To potentially minimize out-of-pocket expenses, please inform us of any additional insurance coverage you may have, or if you plan to change your insurance. We are here to assist you with any information updates, including changes to your address or insurance coverage.

Thank you for choosing Healthcare HD as your medical equipment and supplies provider. Please contact us at 888-521-0157 for any assistance or questions.