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HCP Part A Portal

Existing Patient? Only tick if patient currently has home oxygen equipment

If the CCG is not listed this portal cannot be used to submit a HOOF Part A as it is not in an Air Liquide Region. Instead you should contact the Regional Provider.

Patient's Registered GP Information:

Start entering a postcode and select the practice from the list.

HCP Part A Portal Confirmation

Before completing this HOOF you should ensure the Home Oxygen Consent Form (HOCF) and Initial Home Oxygen Risk Mitigation (IHORM) have been completed and signed. These should be kept with your patient records. For a copy of the forms and guidance notes please go to HOCF/IHORM Supporting Documents.

Before proceeding please confirm the following:

All fields marked with a * are mandatory