Collage of people using CPAP machines during sleep

Prescription Forms

At Regional Home Care, we’re committed to making it as quick and easy as possible for providers to ensure their patients get the care they need. That’s why we offer a pre-filled, downloadable prescription (RX) form—designed to save you time. Just complete the patient-specific details and send it our way. We’ll take care of the rest.

Click here to download a copy of our PAP Therapy Prescription Form.

Switch to Regional Home Care

Switching to Regional Home Care for sleep therapy and diabetes care is simple. Just fill out a Patient Transfer Request Form, give us a call at 800-229-6267, or have your physician send us your prescription & recent qualifying documents.

Click Here to Make the Switch!