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complete our Authorization below

Step 1: Complete the Authorization Form below (click the image below)…you can even sign on your phone!

Step 2: Call your doctor or nurse practitioner and request a prescription. They can fax it to 205-989-9903

Example: “Please dispense a new CPAP Machine or CPAP Supplies”‍ ‍

Step 3: We take it from there!

  • We’ll contact your prescriber/lab for documents and let you know when we receive them

  • This typically take about 2-3 business days

  • If you don’t hear from us, we ask that you contact your prescriber/lab, etc. to also request the documents be sent over.