Entergy, which serves customers in Arkansas, Louisiana, Mississippi, New Orleans and Texas, flags accounts for medical-needs outreach during storms and outages when a household member uses a ventilator or left ventricular assist device 24 hours a day, or is on hospice care. There is no published form: the patient's physician writes a statement on letterhead or a prescription pad and faxes it to Entergy.
The patient's physician writes the whole statement. The customer starts the process by calling Entergy's customer contact center and explaining the medical need.
The issuer sets what the letter or report must contain; check its current rules before you write it.
Physician statement for Entergy medical needs (critical care) registration
There is no form to fill: the program asks for a letter or report with the content it sets. Vero Scribe writes the visit note it draws on, so the details are ready when you write it.
A form is listed only after its name and number were confirmed on the issuing agency’s or insurer’s own website, or in the form itself. Each entry links to that source. The list was last checked in October 2026. Forms and their requirements change without notice, so check the official page for the current version before you complete one.
Vero is not affiliated with, or endorsed by, the agencies and insurers listed here. Read our editorial policy.
Customers with a ventilator in use at home 24 hours a day, customers with a left ventricular assist device in use at home 24 hours a day, and households with a resident on hospice care. The physician's statement confirms which applies.
No. The physician writes a statement on their letterhead or prescription pad covering the home equipment, service location, Entergy account number and account holder's name. After the customer calls Entergy and explains the medical need, the agent provides the fax number for the physician.