HME DEALER FORMS

Equipment Packing List

Please use this form when sending equipment for repair to Repair Authority. Add details on as many units as you wish, then print out the PDF and enclose it with your shipment (if shipping in) or attach it to your units if you are on a regular Repair Authority pickup/delivery route.

Dealer CPAP Traveler Form

Please use this form when sending in a non-warranty patient-owned CPAP device. The Dealer CPAP Traveler Form is used to track patient-owned CPAP units sent in for repair to ensure that it’s returned to the proper patient. Click the link below to complete this form with your company information, particulars on the device and the nature of the problem. You’ll receive a PDF of the form that you can print and enclose with the unit when you ship it.

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