Many times I find that members will need to be very specific with their health care provider to obtain equipment that advisors/monitors/administrators recommend. For instance, the "Resmed Airsense 10 Autoset for Her" is likely the most recommended machine on this forum. To assist members in obtaining the equipment that they need and as a matter of fulfilling equipment preference, I have used the very prescription that I was given in order to make a "sample CPAP Rx template".
My idea of using this template is that the spaces may be filled in by the patient to hand over to the healthcare provider and request that the healthcare provider generate a prescription based on the form. I left the notes field for machine specifics, so in there a patient may write "Dispense Resmed Airsense 10 Autoset for Her, do not substitute" or something along those premises.
Anyhow, hope this helps out and, of course, please use or modify as you may wish. Everything on the form is accurate to my best knowledge. I wrote the template using Word so it is .docx
Suggestions and critique always welcome.