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CPAP Machines
CPAP Machine Supplies
CPAP Masks
CPAP Sanitizers
- CPAP Wipes
About
- FAQs
- Rx Wizard
- Contact

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Rx Wizard

Please answer the following questions.
Do you now or have you previously had a Rx for CPAP therapy?*
- Yes
- No

Do you currently have access to a physical or digital copy of your CPAP Rx?*
- Yes
- No

Let us lend a hand.
- Please obtain a copy of my existing Rx from my healthcare provider, sleep lab, or supplier.
- My previous CPAP Rx is no longer valid or available. I need assistance in obtaining a prescription renewal.

Help us contact your physician or supplier. We'll do all the heavy lifting!
First, about you:
First Name*
Last Name*
Date of Birth*
Email*
Phone*
Now, about your provider or supplier:
Name of Physician or Supplier*
Physician or Supplier Phone Number
Location of Physician or Supplier
Additional Comments
Please provide any more information you think may help us obtain your Rx:
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We are a team of healthcare professionals with a diverse set of skills. Willing to provide you with a solution so you can get the very best outcome from your Sleep Apnea Therapy.

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