Patient Information Packet
Download and review your patient packet, then complete the acknowledgement form below.
📄 Download Your Packet
Please download and carefully review the Patient Information Packet before completing the acknowledgement form below.
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Patient Intake Form
Personal information, physician details, and medical necessity documentation.
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Insurance & Assignment of Benefits
Authorize TruePath to bill your insurance directly on your behalf.
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HIPAA Privacy Notice & Consent
Your rights regarding protected health information under federal law.
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Equipment Agreement & Delivery Receipt
Terms of use, rental vs. purchase options, and delivery acknowledgment.
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Patient Rights & Responsibilities
Your rights and responsibilities as a TruePath patient.
Acknowledgement of Receipt
By submitting this form you confirm you have received and reviewed the TruePath Medical Supply Patient Information Packet including the HIPAA Privacy Notice and Equipment Agreement. Your IP address will be recorded.
Quick Start Checklist
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Download and read the Patient Information Packet
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Obtain a prescription from your doctor
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Complete patient intake forms
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Provide insurance card & photo ID
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Sign HIPAA consent & equipment agreement
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We handle the rest — delivery in 24–48 hrs
Need help completing forms? Call +1 (602) 806-6152
Why We Require Acknowledgement
Federal Medicare and AHCCCS regulations require all DME providers to document that patients have received and understood their rights, HIPAA privacy notice, and equipment terms prior to delivery. Your IP address is recorded as a legally compliant electronic acknowledgement. Questions? Call us.