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Complimentary RX Service

Complimentary RX Service

If you purchase an RX product, provide your doctor's information in checkout and we will request your CPAP prescription on your behalf. If you already have your prescription, you can upload it after you complete your purchase.

Provide your doctor's information during checkout. If an RX is needed, we'll prompt you for your doctor's information.
The form can be faxed to us at 1-866-903-3640.
You can also email your doctor's information to info@cpapsupplies.com. Please use "Doctor's Information: Complimentary RX Service" as the subject line.
Download our form, then email or fax it to us with your doctor's information below:

CPAP Supplies RX Order Form

CPAPsupplies.com RX Order Form

Complimentary RX Service Bell

Complimentary RX Service Bell

If you purchase an RX product, provide your doctor's information in checkout and we will request your CPAP prescription on your behalf. If you already have your prescription, you can upload it after you complete your purchase.

1. Provide your doctor's information during checkout. If an RX is needed, we'll prompt you for your doctor's information.

2. The form can be faxed to us at 1-866-903-3640.

3. You can also email your doctor's information to info@cpapsupplies.com. Please use "Doctor's Information: Complimentary RX Service" as the subject line.

4. Upload your prescription here and email or fax it to us with your doctor's information.