DMEPOS Templates

Templates and Suggested Clinical Data Elements (CDEs) for Durable Medical Equipment, Prosthetics, Orthotics & Supplies (DMEPOS)

You can use the printable clinical templates or suggested CDEs to assist with documenting the following for certain DMEPOS items:

• Face-to-Face (F2F) Encounters
• Detailed Written Orders (DWOs) or Written Orders Prior to Delivery (WOPDs)
• Laboratory Test Results

See a complete list of all clinical templates available for download here.