1N HSAT Kit Return Policy-Huxley Medicare

1N HSAT Kit Return Policy-Medicare
RETURN DEADLINE:
· To prevent a $500 non-refundable late return/damage/stolen device fee, the Home Sleep Apnea Test (HSAT) kit must be mailed back to us within 72 hours of finishing sleep study and must be received by us within 7 days.
- No drop-offs are allowed.
- Home Sleep Apnea Test (HSAT) kit must be mailed back in a padded envelope to the following address:
Huxley Medical, Inc.

1465 Northside Drive NW
Suite 217
Atlanta, GA 30318
- Please note that above address is NOT a drop-off location.
- If kit is not received within 7 days of completing your study by us, you will be charged process fees of $500. This fees will be solely your responsibility as it can't be billed to insurance.
-You will be responsible for the return shipping charges.

EXCEPTIONS: NONE
*

I have read, understand, acknowledge and agree to comply with the above-stated Home Sleep Testing Kit Return Policy.I decline
Patient Consent for Electronic Communications
By signing above, I authorize Huxley Medical, Inc. (“the SANSA sleep test provider”) to contact me about my sleep test order, shipping address confirmation, shipping or delivery updates, test instructions, reminders, and other order-related matters.
- I give express written consent for the SANSA sleep test provider to contact me using the phone number(s) I provided, including by SMS/text message, voice/phone calls.
- I understand the frequency of these calls and messages may vary based on my order status and care needs, and may include multiple contacts if follow-up is needed to complete scheduling, testing, or related coordination.
- I understand that message and data rates may apply depending on my mobile carrier and plan.
- I understand that giving consent is voluntary and that I may revoke future text or call consent at any time by contacting the Sleep Test Provider or using reasonable opt-out methods provided in a communication (for example, replying STOP to a text, if applicable).
Patient acknowledgement*

I have read this form, understand the types and possible frequency of communications described above, and consent to receive these communications from Huxley Medical, Inc. regarding my sleep test order.I decline
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1N HSAT Kit Return Policy-Medicare

Patient Consent for Electronic Communications