Scheduling Hyperbaric Oxygen Therapy

Rapid Recovery Hyperbaric Medical Clinic
Dr Donald Underwood, DO, MPH, JD
Medical Director


We welcome you and your family to Rapid Recovery Hyperbarics Medical Clinic, where you will be carefully provided with Safe, Productive, and Private Hyperbaric Oxygen Therapy.

Our goal is your safety and recovery. Our years of commitment allow us the privilege of personal involvement with all patients.

Contact our office for an informative packet of information personalized to meet your health concerns and needs. Please contact our office with any questions.

Rapid Recovery Hyperbarics Medical Clinic
909-889-7626
909-889-0517
Alternatively, e-mail us at:
hyperbaric1@earthlink.net
www.hbot4u.com

We request that you send for your medical records and using the form below print off and send to you treating physician. (There should be no charge to you for this service)

Please read:

Our fee's for services are $150.00 per hourly treatment with a generous reduction in cost in groups of 40 one hour treatments. This includes all equipment needed for therapy. After hours services and or high maintance patients require an additional cost. Dr. Underwood's fee for Physical exam, Review of medical records, are $125.00 Hospital exams have additional costs. Continuing patients receive addition reduction in cost. These are subject to change without notice.

We require a $500.00 deposit for scheduling appointments.

  • 100% cotton Scrubs are included
  • Oxygen treatment hoods
  • Oxygen Masks
  • Medical Review of Records
  • Physical Exam with Medical Director, Dr Underwood.
  • Private Patient Orientation session, attended by CHT, RN, EMT, or RRT

Hospital medical exams are available for Patients who are in long-term hospitals with Dr Underwood.
Please call the office for these arrangements
909-889-7626
hyperbaric1@earthlink.net



Please print off the Medical Release and Mail to your treating Physician’s office.

Legal Release of Medical Records
Medical Authorization

Patient: __________________________________________________
(print)

Patients S.S.#_____________________________________________

Patient’s date of Birth:_______________________________________

Patient’s address:__________________________________________

You are hereby authorized to release and are requested to furnish to my treating Physician, Dr Donald A. Underwood DO, All medical records, reports, X-ray, MRI, SPECT Brain Scans, C.T. scans or other documents. You are requested to include, Radiologist reports, Nuclear Medicine Reports, Laboratory, Physician’s notes, EEG’s film and reports, plus any correspondence regarding the above stated patient. This authorization will remain in effect for a period of two years from the date signed.

Kindly send in accordance with the California State law in a timely matter.

Send the above stated request to:


Rapid Recovery Hyperbarics Medical Clinic
Dr. Donald Underwood DO
1455 North Waterman Ave. #124-126
San Bernardino, CA. 92404

Authorized Signature:


_________________________________________Date____________

Print Name of Signatory:__________________________________________________

Relationship to patients:___________________________________________________