1500 LIBERTY STREET SE, SUITE 170, SALEM, OR, USA
Tel: 503-584-1961 | Fax: 503-990-6439
CPAP/BIPAP Resupply reasons
Full Face/Nasal Mask Frame
Full Face/Nasal Mask Frame
Full Face/Nasal Mask Frame
Eligible 1 every 3 months
Is your mask frame worn out, cracked, or beyond it's life span? Please indicate why you are in need of a replacement mask frame, if eligible.
Mask Headgear
Full Face/Nasal Mask Frame
Full Face/Nasal Mask Frame
Eligible 1 every 6 months
Is your headgear soiled, loose, or ripped? Please indicate why you are in need of a replacement headgear, if eligible.
Chin Strap
Full Face/Nasal Mask Frame
Full Face Cushion
Eligible 1 every 6 months
Is your chin strap soiled, loose, or ripped? Please indicate why you are in need of a replacement chin strap, if eligible.
Full Face Cushion
Nasal Cushions/Pillows
Full Face Cushion
Eligible 1 every month
Is your cushion leaking air? Is it worn out? Loose? Please indicate why you are in need of a replacement full face cushion, if eligible.
Nasal Cushions/Pillows
Nasal Cushions/Pillows
Nasal Cushions/Pillows
Eligible 2 every month
Is your last nasal cushion/pillow leaking air? Is it worn out? Irritating your nostrils? Please indicate why you are in need of a replacement nasal cushion/pillow, if eligible.
Heated/Standard Tubing
Nasal Cushions/Pillows
Nasal Cushions/Pillows
Eligible 1 every 3 months
Does your tubing have a tear or holes? Is it pitted? Are the connectors loose? Please indicate why you are in need of replacement tubing, if eligible.
Disposable Filters
Water Chamber/Reservoir
Disposable Filters
Eligible 2 every month
Is your last disposable filter soiled?
Please indicate why you are in need of replacement tubing, if eligible.
Reusable filter
Water Chamber/Reservoir
Disposable Filters
Eligible 1 every 6 months
Is your reusable filter beyond soiled?
Please indicate why you are in need of replacement tubing, if applicable/eligible.
Water Chamber/Reservoir
Water Chamber/Reservoir
Water Chamber/Reservoir
Eligible 1 every 6 months
Is your water chamber cracked/broken? Is it leaking water? Does it have hard to remove mineral deposits? Please indicate why you are in need of replacement tubing, if eligible.
CPAP/BIPAP Device
CPAP/BIPAP Device
Water Chamber/Reservoir
Eligible every 5 years
*New prescription required
Heated Humidifier
CPAP/BIPAP Device
Heated Humidifier
Eligible every 5 years
*New prescription required
Cascade Sleep Supply, LLC.
1500 Liberty Street Southeast, Salem, Oregon 97302, United States
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