F&P Physician Sampling Program

Request F&P mask samples

Subject to Fisher & Paykel Healthcare’s sole discretion. This program allows physicians with a valid NPI to request up to six (6) F&P masks per month for demonstration, display, or staff training purposes.

If you have an enquiry about our products, please provide the following information so a Fisher & Paykel Healthcare representative can contact you. For further details on how this information will be used, see below or go to our privacy statement.

First Name*

Last Name*

NPI Number*

Please supply an individual's NPI number. Organizational NPI numbers will not be processed

Email*

Practice Details

Practice Name*

Delivery for the attention of:

Please provide Name or Dept

Phone*

Address Line 1*

Please supply a business address for shipment/ delivery

Address Line 2:

City*

Country*

State*

ZIP Code*

Request Details

Reason for sample request

NOTE: The maximum number of masks allowed is 6 per month.

F&P Nova Micro Mask

F&P Nova Micro - Fit Pack:

F&P Solo Pillows Mask

F&P Solo Pillows - Small:

F&P Solo Pillows - Medium:

F&P Solo Pillows - Large:

F&P Solo Pillows - Fit Pack:

F&P Solo Nasal Mask

F&P Solo Nasal - Small:

F&P Solo Nasal - Medium:

F&P Solo Nasal - Large:

F&P Solo Nasal - Wide:

F&P Solo Nasal - Fit Pack:

F&P Evora Full Mask

F&P Evora Full - Extra Small:

F&P Evora Full - Small - Medium:

F&P Evora Full - Large:

F&P Evora Full - Fit Pack:

F&P Vitera Full Face Mask

F&P Vitera - Small:

F&P Vitera - Medium:

F&P Vitera - Large:

F&P Eson 2 Nasal Mask

F&P Eson 2 - Small:

F&P Eson 2 - Medium:

F&P Eson 2 - Large:

I consent to Fisher & Paykel Healthcare keeping me informed about new F&P products, clinical updates, events and promotions on Obstructive Sleep Apnea Care

I acknowledge and agree that the products received through Fisher & Paykel’s sample program are exclusively for demonstration of product to patients, display, or staff training purposes only and may not be resold or billed to any third party payor including Medicare, Medicaid or any insurer. Use of samples for any other purposes is not permitted. Any violation of the program may result in immediate termination of your participation in Fisher & Paykel’s sample program.

Our full mask range

Everybody is different, which is why F&P Healthcare has developed a wide range of therapy mask styles to meet the varying needs of people in the PAP community.

View our latest mask designs