Cpap order form pdf 2025

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The prescription must include your name, the physicians name, their contact information, and their signature, as well as a statement about the equipment needed. Ideally, prescriptions for a CPAP machine will also include a pressure setting.
Any medical doctor, including your primary care doctor, can write you a prescription for CPAP therapy. However, a sleep specialist will be able to administer a detailed sleep study. Self-reported symptoms are a useful starting point, but the results from a sleep study give a more detailed picture of your symptoms.
What should my CPAP prescription include? Your CPAP prescription should contain: The phrase Continuous Positive Airway Pressure or CPAP Your specific pressure setting, for example 12 or 12 cm H2O
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For most people, an appropriate CPAP pressure is between 6 and 14 cmH2O, with an average of 10 cmH2O. Your sleep specialist can help you determine what specific level is right for you. Over time, your CPAP device pressure may require adjusting.
Getting a prescription requires a board-certified physician to write one. And the doctor must follow a set of protocols, including having you take a home sleep study, in order to justify giving you a prescription to treat your sleep apnea.
The diagnosis of OSA requires documentation of at least 30 episodes of apnea, each lasting a minimum of 10 seconds, during 6-7 hours of recorded sleep.
Getting a prescription requires a board-certified physician to write one. And the doctor must follow a set of protocols, including having you take a home sleep study, in order to justify giving you a prescription to treat your sleep apnea.
After the patient starts CPAP treatment at home there has to be documentation of patient compliance. This is done after 31 days but before 90 days of usage. They must have a download of the CPAP usage and a face to face re-evaluation with their physician.

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