Submit Your Rx to Us
Download our Prescription Form and email, fax or upload it with your doctor's signature. Format(PDF)
Email Us
Fax
Checklist for Submitting Your Prescription
Fax, Email, or Submit Below
You can fax your prescription to 866-936-3730, email it to sales@respshop.com, or submit below.
We’ll Match
We will automatically match up your prescription with your order.
Prescribed by US Doctor
Prescriptions must be issued by a doctor licensed to practice medicine in the United States.
Pressure Setting Visible
If purchasing a CPAP, make sure that the prescribed pressure setting is clearly visible on the prescription.
Pressure Range Specified
If purchasing an Auto-CPAP, make sure that the prescribed pressure range is specified (e.g. 5-20 cm/h20)
Purchasing a BiLevel?
If purchasing a BiLevel, make sure the IPAP (high pressure) and the EPAP (low pressure) are indicated along with the contact information for your physician.
