CPAP Parts & Accessories Re-order Form
RESUPPLY REQUESTS ARE ONLY FOR EXISTING PATIENTS OF NEUROLOGICAL WELLNESS CLINIC
Please verify with your insurance company allowable quantities of CPAP supplies.
Call 262-522-3070 with questions.
Hours: Monday – Friday 8:30am – 4:30pm
Use the Mail-in Order Form or the online form below.

Mask Cushion
Replace every 1-3 months
Mask Assembly
Replace every 3-6 months
Tubing
Replace every 3-6 months
Headgear
Replace every 3-6 months
Humidifier Chamber
Replace every 6 months