Service & Repair Request

Service & Repair Request Form

To obtain a Return Authorization (RA) number, please submit the following form and a member from our team will follow-up with you within 24 hours. If you need any assistance, please call us at 1-888-822-2461 or email servicerepair@careicahealth.com
Your Information
Name*

First NameLast Name
Phone number*
10 digit phone number
Email*
example@example.com
Company*
Product Information
Machine manufacturer*
Shipping to Careica Health is free for all in-warranty repairs of Philips Respironics equipment! If this claim is warranty-approved, you will be provided a Fedex waybill to ship your device to us.
Invacare machine type*

Platinum 10Perfecto2Perfecto2 VOther
ResMed machine type*

S9 line of units (CPAP and VPAP)AirSense 10Other
Philips Respironics machine type*

EverFloMillenium M10SimplyGoSimplyGo MiniUltrafilDreamStation (CPAP)System One 60 Series (CPAP and BiPAP)Cough AssistOther
Model number*
Serial number*
Description of the problem*
Should be Empty:

Service & Repair Request Form