The path to better sleep
starts with your prescription.

SUBMIT YOUR PRESCRIPTION BELOW

The US FDA requires a prescription for the sale or repair of all CPAP devices. This includes the Z2 CPAP and Z2 Auto CPAP.
You can submit your prescription either via secure upload or fax below.
Please note, we cannot accept prescriptions from non-US doctors.
Prescription FAQ’s

Secure Form

To submit your prescription by the secure, online form, click the button below to go to the form. Complete the form. Enter your order number or RMA number as the order ID.

Scan or take a photo of your prescription and attach the file.

Go to Secure Form

Secure Fax

To submit by the secure digital fax send to the fax number below. Please include your order number on the cover page.

FAX to: 434-260-7975

Your data is safe at smallCPAP.com The online form is hosted by our HIPAA compliance partner MDOfficeMail. If you choose to submit by the online form you will be redirected to the MD Office Mail website where your submission will be encrypted.