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Know a friend, relative, or co-worker who may be interested in this product? Take this opportunity to let them know.

PATIENT'S DETAILS

Title*

First Name*

Surname*

Address*

NHI

Date of Birth*

Example: 29/03/1969

Phone (H)*

Example: (649)845-0088

Phone (W)

Example: (649)845-0088

Mobile

Example: (64)21-456789

TEST REQUESTED (Patients should withhold inhalers on the day of the test)

	Spirometry with Flow/Volume loops
	Pre and post bronchodilator
	Lung volumes and flows with DLCO
	Pre and post bronchodilator
	Exercise VO2 assessment
	6 minute walk test
	Static mouth pressures (for muscle weakness)
	Challenge testing
	Tidal breathing (for Hyperventilation Syndrome)
	Arterial blood gas (Home O2 assessment)
	Hypoxic challenge for flying
	Induced sputum
	FENO

Referring Doctor

Referring Doctor*

Phone*

Example: (649)845-0088

Date*

Example: 23/01/2010

Fax

Address

The Message.	Hi, You're receiving this email because {name} thinks the ResMed AirFit P10 Nasal Pillows Mask would interest you. The ResMed AirFit™ P10 nasal pillows mask is our quietest mask yet. Bringing you the latest technology in sleep apnea therapy, the AirFit P10 is approximately 50% quieter and 50% lighter than its predecessor. A recent ResMed study found that patients using the AirFit P10 wore it for 40 minutes longer per night. Offering premium comfort and ease of use without compromising stability, the AirFit P10 also sports a unique split-strap headgear design for minimal facial contact and a real sense of freedom. P10 masks include Small, Medium and Large nasal pillows. For more information, please click Here Regards,
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