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Upload Your Prescription

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HIPAA Secure
24-48 Hour Review
Expert Support

Prescription Upload Form

Please fill out all required information and upload your prescription

Personal Information
Shipping Address
Insurance Information
Prescription Upload
Accepted File Types

Please upload a clear, readable copy of your prescription in one of these formats:

  • PDF (.pdf)
  • JPEG Image (.jpg, .jpeg)
  • PNG Image (.png)
  • Maximum file size: 10MB
Drag and drop your prescription here

or

Prescribing Physician
Equipment Preferences

What Happens Next?

Our streamlined process ensures you get your equipment quickly

1
Prescription Review

Our licensed respiratory therapists review your prescription within 24-48 hours to ensure accuracy and completeness.

2
Insurance Verification

We contact your insurance provider to verify coverage and determine your out-of-pocket costs before processing your order.

3
Equipment Selection

Based on your prescription and preferences, we select the optimal device or equipment for your needs.

4
Delivery & Setup

Your equipment is shipped directly to you with complete setup instructions and ongoing support from our team.

Frequently Asked Questions

Common questions about prescription upload and processing

A valid CPAP prescription should include the following information:

Patient Information
  • Full name
  • Date of birth
  • Address
  • Phone number
Physician Information
  • Doctor's name and signature
  • Medical license number
  • Clinic/hospital name
  • Contact information
Note: Prescriptions must be dated within the last 12 months and signed by a licensed physician.

Our prescription processing timeline is designed for efficiency:

Standard Processing
  • Prescription Review: 24-48 hours
  • Insurance Verification: 1-3 business days
  • Equipment Preparation: 1-2 business days
  • Shipping: 2-5 business days

Total Time: 5-10 business days

Potential Delays
  • Incomplete prescription information
  • Insurance authorization requirements
  • Equipment out of stock
  • Additional physician clarification needed

We'll keep you updated throughout the process

Rush Processing Available: Contact us if you need expedited processing for urgent medical needs.

Yes, we take your privacy and security very seriously:

Security Measures
  • 256-bit SSL encryption for all uploads
  • HIPAA-compliant data storage
  • Secure server infrastructure
  • Regular security audits
  • Access controls and monitoring
Privacy Protection
  • Limited access to authorized personnel only
  • No sharing without your consent
  • Automatic data retention policies
  • Right to request data deletion
  • Transparent privacy practices
Compliance Certifications

We are fully HIPAA compliant and follow all federal and state regulations for handling protected health information (PHI).

We offer flexible payment options to make your therapy affordable:

Insurance Coverage
  • Most major insurance plans accepted
  • Medicare and Medicaid coverage
  • Direct billing to insurance
  • Pre-authorization assistance
  • Coverage verification before shipping
Payment Methods
  • Credit and debit cards
  • HSA/FSA accounts
  • PayPal and digital wallets
  • Monthly payment plans available
  • Cash pay discounts
No Upfront Payment: We verify your insurance coverage and inform you of any out-of-pocket costs before processing your order.

Need Help with Your Prescription?

Our respiratory therapy specialists are here to assist you through the process.

Email Support Call 1-855-316-3506