Attachment J - 1.docx

Attachment J is a document containing a Ventilator Function Check form for VA Clinical Respiratory Assessment (Revision 6/4/2020) related to VISN 12. The document appears to be an assessment template with an image (image1.png) that provides visual guidance for conducting respiratory equipment checks, specifically for ventilator function verification. This attachment is part of the broader solicitation (36C25225R0072) for Home Oxygen Delivery Services across multiple VA medical facilities in the Midwestern United States, including locations in Wisconsin, Michigan, Illinois, and covering facilities within the Veterans Integrated Service Network 12 (VISN 12).