Prescribe Now

Here is how you can prescribe Provent Sleep Apnea Therapy for your patient:

Download and complete the attached Doctor Order Form (For Edgepark Medical DO Form click here) on behalf of your patient.
Choose a supplier (see our Supplier Locator)
Fax the completed Doctor Order form to the supplier of your choice.

Please note that you can order a 10-night starter kit and/or a 30-night supply for your patient. Once the supplier receives your DO (prescription) form, the patient will be contacted to confirm shipment and collect payment.

To obtain updates and more detailed information about prescribing Provent Sleep Apnea Therapy, please complete and submit the form below. Provent Therapy is currently available in the United States, Hong Kong, India, Australia and New Zealand.

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