Contact Us

Corporate Office:

Carolina's Home Medical Equipment, Inc.
901 Sam Newell Road
Suite K
Matthews, NC  28105



Email us at careers@chmei.com or please fill out the form below.
Contact Information

Please complete the fields below and we will respond to your inquiry within 48 hours.

First Name:
Last Name:
Address Street 1:
Address Street 2:
City:
Zip Code: (5 digits)
State:
Daytime Phone:
Evening Phone:
Email:
Comments:


















CPAP / BiPAP Compliance


Please complete 1 & 2 below.  When you are finished press the "submit" button.


1.  Please complete the following for your machine ONLY:


ResMed S8 Elite & Escape:

Your machine data must be downloaded to a memory card and we will mail the card out when necessary.

Invacare Polaris EX*:

*your machine should read stand-by.  Press & hold the down button until the screen reads version 1.05.  The quick code screen appears.  Push the down arrow and record the start date and the 9 digit code.

Date:                
9 Digit Code:     





 














ResMed Tango CPAP
**:

**Record the number on the machine when you turn it on.

Hours read:        



Respironics Remstar/Remstar Plus M Series***:

***Press the back arrow and record the information above.  You will need to continue pressing the back arrow until all information is recorded.


Therapy Usage (hrs/night)

7 day average:   
30 day average:


Sessions > 4

7 day average:  
30 day average: 

Compliance Check#:

Number:           

Summary Data:

Therapy Hours:  
Blower Hours:   
Total Sessions: 

2.  Please complete all of the following:

First & Last Name:

Equipment Use:

YesNo  Mask fitting / no leaks
YesNo  Nocturnal use  hours per night
YesNo  Cleaning of equipment
YesNo  Filters changed/washed
YesNo  Supply of backup equipment (i.e. mask/tubing/headgear)

Symptomology:

YesNo  Decreased daytime sleepiness
YesNo  Adequate humidity
YesNo  Complaint of skin, eye, nose or throat irritation
YesNo  Weight change
YesNo  Improved quality of sleep
YesNo  Increase in energy level

Comments



Thank you for assisting us in obtaining the information required by your physician/insurance company.  If you have any questions or issues with your CPAP machine, please do not hesitate to call us at (704) 846-7503.
 
You may be eligible for supplies.  Please contact our office to advise if you would like the supplies to be sent to you.                                                                                                           

                                                                                                           

                                                                       

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