SLEEP RESUPPLY OPT-IN PROGRAM
If you are currently receiving sleep therapy supplies from Fairway Medical, you may have the option to sign up for Fairway Medical Routine Sleep Resupply Program. Enroll online now using our secure e-signature form and receive your supplies on a regular, ongoing basis without having to initiate each order! Your supplies will be sent to you automatically on a quarterly basis with no additional shipping or handling fees. If you have moved or your insurance has changed, please let us know prior to sending your supplies. If we do not have the current insurance information, it could result in higher out of pocket expensive. Please note, insurance allows Fairway Medical to bill for supplies every 3 months.
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First Name
Last Name
Email
example@example.com
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Agreement to Terms and Conditions
By clicking below you agree to join the Fairway Medical's Routine Replacement Program to routinely receive your CPAP resupply on a routine basis according to your insurance guidelines. You understand that any deductibles, co-payments and co- insurance will determine the cost of each shipment.
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