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Prescription Required
A prescription is required for one or more items on your order. Choose an option below.
how to upload
1. Take a photo/scan your documents
2. Click "Choose File"
3. Select the file you want to upload (No larger than 10MB)
Choose FileFile size shouldn't exceed more than 10MB
Missed out any documents?
Email Instructions
Please email your prescription to orders@aerocaredirect.com Your card will not be charged until your prescription has been verified.
Fax Instructions
Please fax your prescription to 888-960-2125. Your card will not be charged until your prescription has been verified.
Please choose this option if your prescription for this item is currently in file with AeroCare currently.
* Invalid Date of Birth of Patient
* Invalid Date of Birth of Patient
* Invalid Date of Birth of Patient
* Invalid Date of Birth of Patient
* Invalid Date of Birth of Patient
