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Prescription Template

Updated: Jul 1

If you have a supplemental health benefits plan or health spending account, you may be able to claim your hospital-grade breast pump rental and in-home nursing support services. Reduce the stress of insurance claims by downloading our Prescription Template.  Simply take it with you on your next Physician visit so you can ensure all necessary information is included. Insurance companies often refer to this as the "PWO" or "Physician's Written Order".

Baby Experts - PWO
Download PDF • 256KB

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