Request a CPAP Set-Up

Have you been diagnosed with sleep apnea and need a CPAP or other PAP device?

Contact us today to schedule your face-to-face set-up with an experienced technician. We will verify your insurance and provide the education and support you need to be successful with therapy.

To purchase a new CPAP machine or supplies online, visit our online store

Shop Supplies Online.

Request a CPAP Set-Up Appointment

First Name*
Last Name*
Phone Number*
Email Address*
Date of Birth*
ZIP Code*
Please enter a value between 10000 and 99999.
Please enter the postal or zip code of your home or work address. This will help us process your request and identify local sleep centers or physicians, if needed.
Health Insurance*
How do you plan to pay for this service? If you have health insurance, please select the type. If you plan to pay cash, please select that option.
Do you have a physician who will refer you for this service?*
- Yes
- No, please recommend a physician.
Name of Your Physician*
Enter the name of the physician who will refer you for this service.

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