Santa Ana California Affidavit for Intolerance or Non-Compliance to CPAP

Category:
State:
Multi-State
City:
Santa Ana
Control #:
US-S045ST
Format:
Word; 
Rich Text
Instant download

Description

This affidavit states because of intolerance / inability to use the CPAP, individual wishes to have a OSA treated by Oral. Appliance Therapy utilizing a custom fitted Mandibular Advancement Device.

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Santa Ana California Affidavit for Intolerance or Non-Compliance to CPAP