Order Confirmation

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We at Monitor Medical appreciate you allowing us to fill your CPAP/BiPAP replacement supply needs. Please take a moment to inspect your supplies as soon as you receive them. If there is any discrepancy between what you ordered and what you received, please notify your supply rep immediately.

In order to correct any error in your shipment, please let us hear from you within thirty (30) days after you receive your supplies, otherwise, we cannot be responsible for the replacement of any disputed items(s).

Most insurance companies and Medicare now require a beneficiary to confirm the supplies you have received. Therefore, please enter your order number that is located at the top left of your Patient Care Delivery Ticket and your Date of Birth to confirm you have received the supplies you requested.

Failure to confirm this order could result in you being billed for these charges.

All fields with an * must be filled out. 

Confirm Receipt of Shipment

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