Presciption Process

A valid prescription order is needed on file before supplies can be shipped.

Prescriptions are necessary for all machine, humidifier, and mask purchases by federal law. These items are labeled with the following symbol:

Rx Required

All accessories, cushions, and comfort items do not require a prescription for purchase. If you are unsure about your purchase, please ask!

If you have seen a sleep physician within the past year, you most likely have a valid prescription order. Click here to upload your prescription into our system.

If you do not have a prescription on file, you will need to obtain a valid order if your purchase requires it. If you have seen your primary care physician within the last year, we can send a prescription order to your physician to sign for supplies. Once your physician has signed and returned the order, we can send out your supply order. To have a prescription order sent to your physician, please fill out the form below.

First Name*

Last Name*

Date of Birth*

Phone Number*

Primary Physician's Name*

Primary Physician's Fax Number*

If you have any questions, please contact us at 630-994-CPAP.