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    • Home
    • Contact Us
    • Accepted Insurances
    • Equipment
    • What is Sleep Apnea
    • Forms
    • About
    • Facebook
  • Home
  • Contact Us
  • Accepted Insurances
  • Equipment
  • What is Sleep Apnea
  • Forms
  • About
  • Facebook

Fax completed forms to (909) 335-5446

Prescription Templates

Use our custom template to easily identify the proper machine based on the sleep study results. 


The "PAP Supplies" section lists out the typical CPT needed on an authorization based on the patients insurance.


Search below for the proper one. Medi-cal members will have different quantities than PPO and Medicare members.  

Download Medi-cal Prescription
Download PPO/Medicare Prescription
Download Sleep Study Referral Form

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Accredited by:  American Board for Certification in Orthotics, Prosthetics & Pedorthics (ABCOP)

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