Physician Consent Form for an Individual Who Needs to Use a Portable Oxygen Concentrator POC During a Southwest Airlines Flight Must be completed in full by the Passenger s physician and printed on physician s letterhead Physician s Name Place of Business Address Telephone Fax Please note that in accordance with Special Federal Aviation Regulation SFAR No. 106 14 CFR Part 121 only the AirSep FreeStyle AirSep LifeStyle AirSep Focus AirSep FreeStyle 5 Delphi RS-00400 DeVilbiss Healthcare iGo...
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