Resources

Peaks & Plains Employment Application

• Application

Rental Equipment Forms

• Rental Form and Agreement

Medicare & Medicaid WA, ID

• Medicare Official Government Website
• Medicare Information Source Website
• Medicaid Washington State Website
• Medicaid Idaho Website
• Incontinence Products Maximums Allowed for Reimbursement by Medicaid of Washington and Idaho
• Medicare DMEPOS Competitive Categories

DSHS WA Information

• Changes to Coverage of Medical Supplies Information of June 15, 2009

For Facilities

• Facility Sign-up Form
• Diabetic Log sheet for patient
• Incontinence Product Selection Guide
• Preferred AFH Status

Individuals or Residents of a Facility

• Peaks & Plains_Brief_Application_Guide
• Resident Sign Up Form, Private Pay
• Resident Sign Up Form, Insurance
• Update information for a resident with insurance coverage
• Request a revision of the products on a resident's Dr's Order
• Resident Sign Up Form, Insurance (Spanish)
• Incontinence Product Selection Guide
• DME Intake Form

Customer Print Outs For Your Records

• Complaint Resolution & Return Policy
• Privacy Practices Notification
• Supplier Standards
• Clients Bill of Rights
• Notice of Privacy Practices (Spanish)

MSDS SHEETS

• MSDS for Bye Bye Odor Eliminator

SMART Alarm Systems Product Guides