Oxygen Saturation (SpO2)

SPO2 Low

Heart Rate

Heart Rate High

Heart Rate Low

Respiratory Rate (RRp)

Respiratory Rate High

Respiratory Rate Low

Please Enter Street Address

Please Enter City

Please Enter State

Please Enter Your Date of Birth

Please Enter Your Phone Number

Please Enter Your Emergency Contact Name

Please Enter Your Emergency Contact Phone Number

What is the emergency contact's relationship to the patient?

Is Your Emergency Contact in the Same Household?

How are you feeling overall?

Your healthcare facility has been notified that you feel worse.

Please describe

Are you experiencing Shortness of Breath?

Is your Shortness of Breath

Your healthcare facility has been notified that your shortness of breath has worsened.

Please describe

Have you changed your Oxygen Flow from Baseline?

Your healthcare facility has been notified that your oxygen flow has increased.

Please enter your new Oxygen Flow Setting

Have you had a fever in the last 24hrs?

Your healthcare facility has been notified that you have a fever.

Please enter your Temperature (F)

Have you had recent diarrhea?

Your healthcare facility has been notified that you have diarrhea.

Please check to ensure the light on your sensor is intermittently blinking blue. If your sensor is blinking orange or red please replace your sensor.

If did not replace your sensor yesterday. Please apply new sensor today. Discard the old sensor afterward making sure not to dispose of the reusable Bluetooth chip.