Services

PIM Referral Checklist and Order Form.pdf

We provide CPAP and Respiratory home medical equipment and supplies
Serving Hawai’i for over 28 years
Local, professional staff available by phone
We carry a full line of CPAP products, with the latest model machines and masks from the top brands in the industry
We accept all insurance EXCEPT: fee-for-service Medicare (MEDICARE PART B), Kaiser, and VA (Advantage plans are ok)
We carry:

CPAP/BiPAP Referrals:

Please use this referral CHECKLIST as a fax cover sheet, and our staff will address it immediately.

If we receive all of the documents required by your patient's insurer, we will expedite the order.

You can also use this as an order form or send your own form or prescription

If we do not receive all documents required by insurers, there will be delays in processing

PIM Referral Checklist and Order Form.pdf