Request a Sample

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 give the full name of person to accept delivery

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 Solo Pillows Mask

NOTE: Maximum of 2 masks across sizes.

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

NOTE: Maximum of 2 masks across sizes.

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:

F&P Brevida Nasal Pillows Mask

F&P Brevida - Fit Pack:

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 I am requesting samples that are only to be used for one of the following purposes: display, demonstration of product to patients, or staff training. Use of samples for any other purposes is not permitted.

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