Clinic Only: Warranty Registration Form

Clinic Only: Warranty Registration Form

Please fill up the details to register your patient's CPAP machine.
1. Only one warranty registration per new purchase of CPAP machine will be processed.

2. By registering the product with SG Medical, you consent to that SG Medical may contact you directly at the provided email address and/or phone number for verifications and/or occasional new SG Medical new offering updates and/or serivicing/therapy review reminders.
Purchase Information

Please kindly fill in all the details below.
Patient's Full Name
Full name is required (Example: David Tan Seng Eng)
Title
Mr / Ms / Mrs / Mdm / Dr
Date of Birth

DayMonthYear
Phone Number

Area CodePhone Number
Email
Inputting the patient's email address will ensure patient receive a notification on the warranty registration. If not, you can put your clinic email address instead.
Machine Serial Number Image (Located at the back of machine)

Please look for SN on the packaging and key in the serial number correctly and ensure that it matches the SN on our Consignment Note.
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Invoice Number Image

Please take a image of the invoice of the purchased CPAP machine.
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Should be Empty: