You can send it by email: sales@respshop.com
Send it by fax: 866-936-3730
Or upload it using the form below:
Download our Prescription Form
Click Here to download the Form.
Make sure it includes your doctor’s signature.
Submit your prescription:
- You can send it by email: sales@respshop.com
- By fax: 866-936-3730
- Or upload it using the form below.
We’ll automatically match your prescription to your order once it’s received.
Important Information 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.
