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> Refer a friend
Refer a friend
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
Clinical Details
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 Respironics DreamStation CPAP Pro (with humidifier and cellular connection) would interest you.
DreamStation positive airway pressure (PAP) sleep therapy devices are designed to be as comfortable and easy to experience as sleep is intended to be. Connecting patients and care teams, DreamStation devices empower users to embrace their care with confidence, and enable care teams to practice efficient and effective patient management.
DreamStation Pro comes with the option of a humidifier or without. If you wish to purchase a unit without a humidifier please call the Sleep Team on 0800 895 120.
For more information, please click
Here
Regards,
Bracketed text e.g {name} indicates details that will be completed by the system when you click the submit button.
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