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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 ResMed AirMini (device only) would interest you.
Smallest portable CPAP on the market today.
AirMini includes three therapy modes: CPAP, AutoSet™ (APAP) and AutoSet for Her (fAPAP).
Designed to work with ResMed CPAP masks: AirFit™ P10 for AirMini, AirFit N30 for AirMini, AirFit N20, AirTouch™ N20, AirFit F20, AirTouch F20 and AirFit F30.
Enjoy a waterless humidification system that delivers the comfort of humidity without the hassle of carrying distilled water everywhere.
Premium travel bag and accessories for therapy on the go also available.
Convenient control with the AirMini app on iOS™ and Android™.
Please note we are unable to supply this device to patients who have not had a sleep study here at NZRSI or who are unable to provide us with a prescription from their clinician.
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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