QUALIFY - CPAP

WILL YOUR PHYSICIAN (MD,DO, NP or PA) PROVIDE A DETAILED WRITTEN ORDER?

_____Have you had a OSA assessment with HTN, CVA, sleepiness, insomnia, mood disorder, impaired cognition

_____Did you have a Sleep Study

_____Do you have a Titration Report

_____Did you have a Physician Follow up after Sleep Study and diagnosed with Obstructive Sleep Apnea

If you answered yes to these question, have your physician fax info to Diamond 480.926.4364

Click DIAMOND DIRECT to go to CPAP buy page