Philips CPAP Class Action Information Form

* Required information.

Full Name *
Phone Number *
Email Address *
What Philips device model do you have? *
Did you confirm it is subject to the recall?
Were you using Ozone cleaning products?
From which company did you purchase you machine?
Do you know their address and contact information?
What have you done since learning of the recall?
Has your doctor provided you with any further information?