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CPAP Supply USA fax number

(866) 560-4227

Prescription

Used for: Prescription submission for CPAP devices and sleep therapy supplies

Fax destination details

Department
Prescription
Purpose
Prescription submission for CPAP devices and sleep therapy supplies
Form
Prescription Form — CPAP USA Prescription Form
Address
720 Moorefield Park Drive, Suite 302, Chesterfield, VA 23236, United States
Voice phone
1-866-560-2727

Before you send

  • Confirm that this exact department handles your document or request.
  • Check the organization website or call its main line for the current fax number.
  • Include a cover sheet and any case, member, claim, or form reference required.
  • Keep the delivery confirmation with your submission records.

Fill patient information (name, DOB, address, phone), diagnosis/ ICD-10, length of need, product type, device details as applicable, physician name, phone, NPI, signature and date. Fax the completed prescription to 1-866-560-4227.

Official form instructions are published as a downloadable file on the organization's website.

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