Submit Your Prescription
If purchasing an FDA prescribed item such as a CPAP, VPAP or BiPAP/BiLevel machine, please use one of the secure methods below to submit your prescription.
To submit by the secure online form scan or take a photo of your prescription and submit the image and your order ID.
To submit by the secure digital fax send to the fax number below. Please include your order number on the cover page.
FAX to: 856.767.7151