Standard RX Form

RX form Declaration is required by the patients, Therapy Machine ( CPAP, BIPAP, and Ventilators ) users. This Declaration specifically required to ensure that the machine/therapy device used with the consultation of either with a doctor or authorized therapist.

Why Declaration requited:

If the user buys any medical device without having, Diagnostic report, Doctor Prescription, Or Hospital discharge summary – In Such events, Declaration is to be submitted by the Purchaser.

Upload RX Form, prescription/ Discharge summary/ Sleep Report / Any diagnostic report


CIN: U51909DL2013PTC262006 | GSTIN: 07AAICM9747P1ZH | Department for Promotion of Industry and Internal Trade-Certificate No.: DIPP53325 | Udyog Aadhaar Number: DL09E0001351


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