Prescription (Rx)

CPAP

The following documentation is required for us to be able to provide a CPAP:

 

  1. Dr Prescription (Rx) stating the following: (e.g.)

-Patient Name

-Patient Date of Birth

-Dr’s name, signature and NPI number

-Machine Settings

-Type of CPAP Machine (Regular, Auto, Bipap)

-Type of Mask, Tubing, and Filters

 

  1. Physician progress notes or Face to Face prior to Sleep Study

 

  1. Sleep Study signed by Doctor

-If AHI is 4 or below – Patient does not qualify

-If AHI is between 5 & 14 – patient must have a secondary diagnosis

(Excessive daytime sleepiness, impaired cognition, mood disorders pr insomnia)

-If AHI is 15 or above – patient qualifies

(Needs to have OSA -Obstructive Sleep Apnea-)

 

Contact my Doctor for me

If you would like us to contact your doctor and request all the documents needed, please click the following button.

Subscribe and receive more information

You have successfully subscribed to the newsletter

There was an error while trying to send your request. Please try again.

CPAP Supplies will use the information you provide on this form to be in touch with you and to provide updates and marketing.