• Skip to primary navigation
  • Skip to main content
  • Skip to footer
Choice Home Medical Equipment

Choice Home Medical Equipment

Compassionate Care

  • (336) 665-0606

  • Home
  • FAQ
  • Services
    • Services
    • Rentals
  • About Us
    • About Us
    • Our Team
    • Testimonials
  • Contact
    • Contact
    • Map
    • Privacy Policy

CPAP Form

Protect Your Health

Routine replacement of your CPAP supplies helps prevent the spread of bacteria and viruses. Breathe easier knowing your CPAP mask, tubing, and other supplies are clean and germ-free. Ensure you are receiving the greatest benefit from your therapy, and protect your health by filling out the order form below.

Choice Home Medical will ship CPAP supplies directly to your home.

CPAP Supply Order Form

Your insurance provider may reimburse you for the cost of these items:*

(INSERT ORDER FORM HERE)

Footer

We’re Fully Equipped

Choice Home Medical Equipment is an authorized supplier for most leading manufacturers. With names such as Invacare, Resmed, Respironics, and many others, we are able to maintain adequate inventories of the most widely prescribed items.

Our Services

Our Professional Commitment

You can depend on us to deliver and install equipment that is dependable, durable, safe, and in good working order.

We are fully committed to the comfort and satisfaction of each patient.

About Us

Fast, On-Time Delivery

As soon as we receive your order*, equipment will be delivered and set up by a trained professional.

*Some equipment may require a physician’s authorization before delivery is possible.

Contact Us

Copyright © 2025 • Choice Home Medical Equipment, Inc. • Privacy Policy