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Fisher and Paykel Forma Foam Cushion and Silicone Seal

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Availability: In stock

$65.95

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$65.95
Fisher Paykel

Product Description

Details

Replacement cushion and silicone seal for the Fisher & Paykel Forma full face mask.

Please select your size when ordering:
400HC121 - Small
400HC122 - Medium
400HC123 - Large
400HC124 - Extra Large

Additional Information

Additional Information

SKU 400HC12X
Manufacturer Fisher Paykel
Part Type Cushion
Dimensions N/A
Included in Box Single foam cushion and single silicone seal
Prescription Required No
Other Information N/A

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Shipping Info

Our Prescription Policy

If your order includes CPAP masks, machines or heated humidifiers, we must have your prescription on file before we can ship your order. Please note that CPAP supplies and parts such as filters, tubing, water chambers, mask parts, cushions and pillows do not require a prescription.

There are three easy ways to give us your CPAP prescription:

  • Fax your prescription to us: (855)505-9178.
  • Email your prescription to prescriptions@canadacpapsupply.com.
  • We can request your prescription for you! Contact customer service at (855)708-2727 or download and print this Physician's RX Order Form document that will allow you to easily and quickly request a prescription from your doctor. Download the form, send it to your doctor, allow him to complete it, and then send it back to us!

NOTE: If you fax or email a prescription, please write your order number on your prescription. A prescription for a standard CPAP must include a set pressure setting.

Please contact our customer service team directly if you are having trouble obtaining a prescription for your mask, machine or humidifier. We can help!

Prescription Policy

Our Prescription Policy

If your order includes CPAP masks, machines or heated humidifiers, we must have your prescription on file before we can ship your order. Please note that CPAP supplies and parts such as filters, tubing, water chambers, mask parts, cushions and pillows do not require a prescription.

There are three easy ways to give us your CPAP prescription:

  • Fax your prescription to us: (855)505-9178.
  • Email your prescription to prescriptions@canadacpapsupply.com.
  • We can request your prescription for you! Contact customer service at (855)708-2727 or download and print this Physician's RX Order Form document that will allow you to easily and quickly request a prescription from your doctor. Download the form, send it to your doctor, allow him to complete it, and then send it back to us!

NOTE: If you fax or email a prescription, please write your order number on your prescription. A prescription for a standard CPAP must include a set pressure setting.

Please contact our customer service team directly if you are having trouble obtaining a prescription for your mask, machine or humidifier. We can help!