CPAP MACHINE RENTAL AGREEMENT

TERMS OF SERVICE

CPAP MACHINE RENTAL AGREEMENT

Under Good Sleep Healthcare Solutions CPAP Machine Rental Program, you pay the fee specified at the Bi-Weekly rate, and will receive a machine for your personal use until your 2 week rental term has expired. This program is subject to our CPAP Machine Rental Policy as follows:

General:

• After you have completed your order of a rental machine through Good Sleep Healthcare Solutions, we will send your sanitized machine with water chamber, standard tubing and filter. (Please note that the filter and tubing we send you is a one-time purchase that applies to the beginning of the rental. All further replacements must be ordered through our website).
• Machines are rented on a 2 week/bi-weekly basis and the rental fee is a reoccurring Bi-weekly charge starting on the machines delivery date. 
• Note that this document also serves as a credit card agreement on file to charge your credit card each 2 week period. This rental amount will be charged until the rental item is returned or purchased.
• The Good Sleep Healthcare Solutions also offers unlimited telephone support during the life of your CPAP machine rental.

NOTICE: If I fail to to make monthly payments or make arrangements to purchase my machine and fail to return it, Good Sleep Healthcare Solutions has the right to charge me the full retail minimum advertised price to replace the machine. Good Sleep Healthcare Solutions also has the right to charge me $1000 as specific damages if my account goes to collections for not purchasing or paying for the machine.

If I falsely dispute a rental charge to my credit card company and have not yet returned my machine, there will be an additional $250 charge for increased administrative costs which I authorize to be charged to my credit card on file. This is in addition to the other costs outlined in the terms and conditions.
In short, I am responsible to pay every 2 weeks I rent the CPAP machine and I am responsible for it’s safe return to Good Sleep Healthcare Solutions

Authorization/Consent for Treatment:

I authorize Good Sleep Healthcare Solutions under the direction of the prescribing physician, to provide home medical equipment, supplies and services as prescribed by my physician. I authorize Good Sleep Healthcare Solutions  to contact me via phone, text, mail and email regarding the services provided.

Returning Goods:

By signing this Financial Agreement with Good Sleep Healthcare Solutions , I understand that I will be supplied with a rental CPAP/APAP/BIPAP machine that will eventually be returned or purchased when I choose. Should I cancel my rental and decide to return the machine at any time I have a 3 day grace period beyond my normal rental cycle payment date to return the unit, or I will be charged another full bi-weekly rental fee. I authorize The Good Sleep Healthcare Solutions to store my credit card on file for these and any other charges, in the event that they occur.

Damaged Equipment and Financial Responsibility:

In the event that the machine breaks down from normal use Good Sleep Healthcare Solutions will replace my rental unit with another one at no additional charge. I will contact Good Sleep Healthcare Solutions to arrange sending in my broken unit to be replaced. Upon receiving the broken unit Good Sleep Healthcare Solutions will confirm that the machine was not damaged due to negligence or purposeful damage.

In the case of returning or trying to exchange broken or damaged equipment due to negligence or purposeful damage, the cost associated with repairing or replacing the device will be the sole responsibility of the patient. In the event that I return broken/damaged equipment I hereby agree to pay Good Sleep Healthcare Solutions for the balance to repair or replace the unit in full, within 30 days of receipt of invoice. All charges not paid within 30 days of billing date may be assessed as late charges. Late charges are $35 per week until the full amount is paid. I am also liable for all charges, including collection costs and all attorneys’ costs.

Authorization for Automatic Payment:

 Good Sleep Healthcare Solutions will require a credit card and driver's license be kept on file to ensure that we are financially protected in the case a returned machine is broken and needs replaced or any additional fees occur. A credit card is also required to be kept on file to make automatic bi-weekly rental payments for the machine.

I authorize Good Sleep Healthcare Solutions to execute transactions on the above account. I consent to the use of the above payment method without my signature on the individual transactions in satisfying my obligations to Good Sleep Healthcare Solutions. I understand that a photocopy or fax of this agreement will serve as an original, and this payment authorization cannot be revoked unless done so in a 30 day written notice to the Provider.

• The above bi-weekly pricing has been explained and I understand the charges.
• The credit card or bank account listed above will be automatically charged bi-weekly until I purchase the machine or until I return it. I will not receive a bi-weekly/ monthly invoice in the mail or email.
• I understand that while I am renting equipment, that I must maintain a valid credit card on file and that if my billing information changes, I will contact Good Sleep Healthcare Solutions to update.
• If my credit card is declined, I will be charged an additional $35 service fee.
• I am responsible for the above equipment. If it is lost or damaged (other than normal wear and tear), I will be billed for the cost as outlined above.
• If the unit breaks down I can pause my rental and send the unit in. It will be replaced with another equivalent machine.
• I authorize Good Sleep Healthcare Solutions to store my payment information on file for any charges that may occur.

Machine Return Policy:

You may cancel at anytime and return your machine back to us by paying our $15 return fee. We will then ship you a return label and as soon as you drop your machine in the mail your monthly billing charges will be stopped.

Mask/Supply Policy:

We offer a satisfaction guarantee with all subscriptions. All mask subscriptions are a 90 day commitment. If you are unsatisfied with your mask and would like to cancel before 90 days then you will be charged $5 for shipping and you will need to return the mask back to us. After 90 days you may cancel at anytime and keep your mask.