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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 AirFit F40 Full Face Mask would interest you.
MINIMAL. MAXIMIZED.
Less is more with ResMed's smallest tube-down full face mask. Whether you're new to PAP therapy, or just looking for a new mask, AirFit F40 may be perfect for you if you need the performance of a full face mask but want the comfort of an UltraCompact design. The low-profile, soft silicone AdaptiSeal™ cushion adapts to your face, helping provide comfort all night long.
Note: This mask contains magnets that may interfere with certain implants or medical devices. Please call to speak with one of our Sleep Team on 0800 895 120 if you think this might be you, and they can talk you through magnet contraindications and warnings.
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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