Necessary Documentation

 

Using new healthcare equipment can seem intimidating, that is why we have provided a library of information to make the process as comfortable and easy-to-understand as possible. 

 
 
 
 
 
 

Document Library

At BritKare, we know your time is valuable to you. That is why we have provided a library of documents for your convenience. Feel free to view or print any forms you might need here.

click the PDF symbol for the desired form

Every first-time patient with BritKare must fill out this form. It provides BritKare with the necessary information to begin providing you with you DME needs.

New Patient Form

This form is required for knee walker rentals and confirms that the renter accepts responsibility for the knee walker.

Knee Walker Rental Form

Rental Condition Checklist

This form is required for all rentals. It verifies that the equipment-renter and BritKare representative have inspected and confirmed that condition of the rented equipment is suitable upon pick-up and drop-off.

This form states that the renter acknowledges the replacement prices for lost or damaged parts of the knee walker rentals.

Knee Walker Replacement Pricing

This document is required for all rentals from BritKare. It should be filled out with a BritKare representative when the equipment is first rented out.

Orientation Checklist