PATIENT FORMS

Patient Repair Forms

Experiencing issues with your CPAP device or oxygen concentrator? Please use the forms below to provide information about you and your device. When you’re done, print a PDF of the form, enclose it in a box with your device and ship it to:

CPAP Medic
21973 Commerce Parkway, Suite A
Strongsville, OH 44149

For timely service, we advise that patients use UPS or FedEx to ship your equipment. Find your nearest UPS location here or your nearest FedEx location here. If you’re in the Cleveland area, you can also drop your device off between 8:00 a.m. and 4:30 p.m. Monday through Friday. If possible, please complete the appropriate form in advance.

CPAP Equipment Repair Form

Sending in your CPAP or BiPAP device for repair? The first step is to complete the CPAP Equipment Repair Form to provide details on you and your equipment. Click this link to access the form and instructions about getting your device to us.

Oxygen Concentrator Repair Form

Need a repair or checkup of your portable or stationary oxygen concentrator? Click the button below to complete our Oxygen Concentrator Repair Form and access instructions on how to get your free, no-obligation repair estimate.

Have questions? Check out our Patient FAQs or contact us at info@cpapmedic.com or 877.310.0343.