info@sleepservices.ca
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Sleep Apnea Treatment in Toronto
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Toronto, Ontario, Canada
Email: info@sleepservices.ca
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CPAP user Feedback Form

I am interested in getting a new CPAP machine

Type

I am interested in the automatic CPAP machine that self-adjusts based on my needs

 

I am only interested in a basic fixed-pressure CPAP machine

 

Features

I am interested in a machine with a five year warranty

 

I am interested in a five year plan that bundles upgraded masks, filters, etc.

 

I am interested in your monitoring program so problems can be caught early

 

Timing

I am prepared to do this now or very soon

 

I may be ready in 3-6 months

 

I may be ready in 6-12 months

 

I may be ready in 1-2 years or more (how long? )

 

Weight

Since I was ,last at the sleep clinic or lab (when? ) my weight changed

 

I have gained weight          OR I have lost weight.

 

Indicate how much, if known: lb or kg

 

Clinical

I am not currently using my CPAP very much or at all

 

I currently snore when I use my CPAP

 

Funding

I may be interested in the third-party financing program to cover my new machine

 

I am covered by extended health insurance that may cover me for CPAP

 

I can only consider a machine covered by ADP

 

I am interested in alternatives to CPAP

 

I am interested in finding out about dental appliance therapy for snoring and apnea

 

I am interested in seeing the Ear Nose & Throat specialist about the Pillar Procedure

 

I am interested in a weight loss program

 

I have already been diagnosted with sleep apnea. Details:

I am interested in a sleep study that involves sleeping in a sleep lab; please arrange

Other information:

 

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