This customizable document, Physician's Prescription, is taken from MCN Healthcare’s Home Care Corporate Compliance Manual. For more than 20 years, MCN has been the health care industry’s leading provider of policy and procedure templates, forms, competencies and other compliance tools.

Health care organizations around the world utilize MCN’s compliant ready templates and workflow process tools to help them meet the latest changes in regulations and standards.

Here is some sample content from Physician's Prescription:

	POLICY: All rental equipment, prosthetic and orthotic devices and rehabilitation equipment which is primarily not a convenience item, personal aid item, or item purchased for aesthetic reasons, shall be initiated and substantiated through a written prescription from the physician. A copy of the prescription shall be maintained in the patient's medical record. A prescription will not be required for: Non-prescription items sold directly to paying customers; Items sold or rented directly to facilities; Non-prescription items paid for by insurance programs that waive the need for a...
Second excerpt:
	...or condition which justified need; Prognosis; Laboratory or diagnostic data if required; Physician's name, address, phone number; Physician's original signature and date. A signed confirmation of physician's orders or physician's prescription pad shall authorize the car provided. These prescriptions shall remain in effect until the order is changed and/or a new prescription is obtained. PROCEDURE: Initial prescriptions must be submitted to the physician within ten 10 days of...