Upload your Rx here

Important information for submitting your Prescription:

βœ” Prescriptions must be issued by a doctor licensed to practice medicine.

βœ” Prescription requirements by device type:

  • CPAP: The prescribed pressure must be clearly visible.
  • Auto-CPAP: The pressure range must be specified (e.g. 5–20 cmHβ‚‚O).
  • BiLevel: IPAP, EPAP, and the prescribing physician’s contact information must be included.
  • Oxygen concentrators: Oxygen flow rate (LPM) must be clearly indicated.
We will automatically match up your prescription with your order.

Our team can contact your physician.

By completing this form, you're all set, and we'll take it from there. We'll contact your physician, gather the required prescription details, and ship the CPAP machine you've already purchased as soon as everything is confirmed.

Here's what we need

Have a doctor's appointment coming up?

Download our PDF form and take it with you. Your physician can complete it during your appointment, and it can be used as a valid prescription.

Download form

Important information for submitting your Prescription:

βœ” Prescriptions must be issued by a doctor licensed to practice medicine.

βœ” Prescription requirements by device type:

  • CPAP: The prescribed pressure must be clearly visible.
  • Auto-CPAP: The pressure range must be specified (e.g. 5–20 cmHβ‚‚O).
  • BiLevel: IPAP, EPAP, and the prescribing physician’s contact information must be included.
  • Oxygen concentrators: Oxygen flow rate (LPM) must be clearly indicated.
We will automatically match up your prescription with your order.