Transfer To Eastern
Clicking here should bring you to a landing page that tells you why we are the greatest and to transfer to us from another company. It should be a simple clean page with maybe some graphics, pictures or text that indicates someone moving from one company to another for better service.
"Eastern Sleep & Respiratory has been the leader in providing high touch customer service in sleep & respiratory care for well over a decade. We pride ourselves in setting clear expectations and executing. We hope we have the privilege of earning and keeping your business. The primary measure of our success is our customers. If you are not happy with the service we need to know. If you have any suggestions as to how we can improve our service, we want to know, and if you are happy with our service and products, we want to know that too.
If you would like to switch from another provider to Eastern Sleep & Respiratory, please complete the two forms below:
Authorization for Release of Medical Records https://hipaa.jotform.com/2013171425421402. Transfer of Care embedded:
Transfer of Care. (code coming later)
If you would like to also sign up for automatic supplies please complete this form: https://hipaa.jotform.com/nstherapy/subscription-resupply-program embedded: If you do not complete these forms you can also email us at firstname.lastname@example.org or call us at 857.400.0044.