Please read and complete the PAP Orientation Checklist. This form is required by the DME provider prior to shipping out the supplies.
PAP MACHINE (Please provide information if available)
Type of Mask (Full Face, Nasal, Nasal Pillows):
Importance of Changing Supplies
- Replacing your supplies is essential for optimal comfort and proper operation of your PAP device. It also prevents infection.
Supply Replacement Schedule
- Mask cushions and/or nasal pillows
- Machine filters
Every 3 Months
- Mask frame
Every 6 Months
- Filters (non-disposable)
- Humidifier water tub
I acknowledge that I have understand and was properly informed about the importance of changing PAP supplies.
By submitting this checklist, I authorize MyApneaPath to disclose the information supplied to the DME vendor to process the order for my PAP supplies.