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DME CPAP Compliance Management

Complete this form to engage SynergyIQ for CPAP patient compliance monitoring services.

1 DME Provider Information

2 Patient Volume & Current Operations

3 Communication Preferences

SynergyIQ uses multiple channels to reach patients. Select which methods you'd like us to use.

4 Compliance Goals

SynergyIQ monitors patients at Days 7, 14, 21, 30, 60, 90, and 180. Our pricing is performance-based — the higher the compliance rate we achieve, the better our per-patient rate.

5 Systems & Access

What platforms will SynergyIQ need access to?

6 Timeline & Start Date

7 Additional Notes

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