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Patient Forms and Insurance

We accept the following Insurances:
DreamWearGel Clinician Showroom

  • Aetna
  • ALL Blue Cross/Blue Shield Plans
  • ASEA Local 52
  • Alaska Teamsters
  • Ameriben
  • Public Education Health Trust
  • The Employee Painter’s Trust
  • The Local Employee Trust
  • Alaska Laborers Health & Security Fund
  • Christian Brothers
  • EBMS
  • Meritain
  • Providence Health

*Medicare will pay for medical equipment and supplies only if a supplier has a Medicare supplier number. Peak Medical Equipment, LLC does not have a Medicare supplier number. Medicare will not pay for any medical equipment and supplies we sell or rent to you. You will be personally and fully responsible for payment.

Patient Forms:

pdf_icon Patient Intake Packet – pdf

pdf_icon Release of Information – pdf

pdf_icon Equipment Cleaning Instructions – pdf

pdf_icon Equipment Replacment Schedule – pdf

pdf_icon Tips for CPAP – pdf

pdf_icon Automatic Resupply Form – pdf