I hereby release from liability and waive any right to sue the American Sleep Apnea Association (ASAA), their officers, directors, employees, agents, and contractors, from any and all claims, including claims of negligence or physical harm or injury. ASAA CPAP Assistance Program is not covered by medical insurance providers, nor will the organization bill any insurance company. The low program fee for your PAP masks assures that the program can be sustained for those without medical insurance coverage or those experiencing financial hardships.
The ASAA provides no instruction on mask use, mask fit nor follow-up care. If you require these services, please follow up with your healthcare provider.
By submitting this application, you hereby authorize the ASAA to dispense the prescribed mask or masks that you requested. The mask is offered new and factory sealed “as is” and without warranty. If masks are damaged in shipment, please notify us promptly and we will replace them. No returns are accepted for opened masks.
I acknowledge and agree that the ASAA makes no warranties or representations, express or implied, to me or any other person with respect to the equipment package. ASAA specifically disclaims all implied warranties including, without limitation, the implied warranties of merchantability, fitness for a particular purpose and non-infringement.