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Home
Sale
Products & Services
Pharmacy
In-Home Care
Vaccines & Flu Shots
Events
About
- Locations
- History
- Articles
- Careers
Customer Service

Products & Services

General Medical Equipment

Bathroom

Canes, Walkers, Crutches

Continuous Glucose Monitors

Grab Bars

Ice Therapy Machine

Power Lift Chair Recliners

Raizer

Walk-in Tubs and Tub Cuts

Visit Our Online Store

Healthcare Apparel

Braces

Compression Wear

Diabetic Shoes & Accessories

Post-Mastectomy

Incontinence, Urological & Ostomy

In-Home Companion Care Services

Mobility

Equipment Repair

Power Chairs

Scooters

Wheelchairs

Power Wheelchairs

Wheelchair Ramps

Wheelchair Vans

Wheelchair Accessible Transportation Service

Shop Mobility Online

Home Modifications

Construction Team

Project Portfolio

Respiratory

Cough Assistance

CPAP & BiPAP

Nebulizer Services

Oxygen

Tracheostomy

Ventilators & More

Online Respiratory Store

Stair & Track Lifts

Ceiling Track Lifts

FlexStep

Home Elevators

Stair Lift Chairs

StairTrainer

Vertical Platform Lifts
Pharmacy

Lab Services

COVID-19 Testing

Flu, Strep & RSV Testing

UTI Testing

Fertility Medicine

Fertility Medication Refills

Corporate Wellness

Flu Shot & COVID-19 Clinics

Long Term Care Pharmacy

New Patients

Pharmaceutical Grade CBD

Pharmaceutical Packaging

Prescription Refills

Vaccines & Flu Shots
In-Home Care
Vaccines & Flu Shots

Vaccinations Available at Kohll’s Rx

Vaccination Consent Form

COVID-19

Flu / Influenza Shots

Pneumonia

RSV

School Vaccines

Seasonal Vaccinations

Shingles

Travel Vaccines

Corporate Wellness Clinics

Flu Shot & COVID-19 Clinics
Customer Service

Contact Us

Locations & Hours

Frequently Asked Questions

Home Health Orders

Hospice Orders

Online Bill Pay

Informative Articles

Compliance Documents

Physician Orders

CPAP & BIPAP Re-Order Form

Products & Services

CPAP & BIPAP Re-Order Form

CPAP Supplies Re-Order Form

LinkedIn

This field is for validation purposes and should be left unchanged.

Name(Required)

First Last

Date of Birth(Required)

Month

Day

Year

Email(Required)

Phone(Required)

Re-Order Information

Please resupply all items I am eligible for at this time

I would like to make some changes to my previous order

Insurance Information

How would you like to submit your insurance information?(Required)

Upload images of my insurance card

Enter my insurance card information

Insurance Card Images

Insurance Card Front(Required)

Accepted file types: jpg, jpeg, gif, png, pdf, Max. file size: 5 MB.

Insurance Card Back(Required)

Accepted file types: jpg, jpeg, gif, png, pdf, Max. file size: 5 MB.

Insurance Card Information

Health Insurance Company(Required)

This is often in the corner of your insurance card.

Health Insurance ID #(Required)

This can also be called Policy # or Member ID.

Health Insurance Group #

Doctor & Order Information

Doctor's name that manages your sleep apnea(Required)

Doctor's Office Location

Doctor's Phone Number

What size and model of mask do you use?

This is often on the front of your mask.

Are your supplies starting to show signs of normal wear and tear?(Required)

YES

NO

What kind of mask do you want to order?

Full face mask (1 per 3 months) + headgear + Full face cushions (2 per 3 months)

Nasal mask (1 per 3 months) + headgear + Nasal cushion (5 per 3 months)

What kind of tubing do you want to order? (1 per 3 months)

Heated Tubing for ResMed Device

Heated Tubing for Philips Device

Universal 10 ft Tubing

Universal Slim Tubing

Universal 6 ft Tubing

What other supplies do you want to order?

Disposable filter (6 per 3 months)

Reusable filter (1 per 6 months)

Chinstrap (1 per 6 months)

Water chamber (1 per 6 months)

How do you want to pay for your copay if you have one?

Charge my credit card that is on file already

Please call me to get my credit card information to keep on file

I'll stop by your location and pay in person

Is it ok to text you updates and questions as we go?

YES

NO

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Comments

Notes & Comments

Δ

We help ensure you live healthy and independently. Our pharmacy professionals provide answers to your questions, offer their expert opinions and so much more.

Product & Services

General Medical Equipment
Healthcare Clothing
Incontinence + Urological + Ostomy
In-Home Companion Care Services
Mobility
Respiratory
Stair Lifts
Home Modifications

Corporate Wellness
Fertility Medicine
Long Term Care Pharmacy
Pharmaceutical Packaging
Prescription Refills
Testing Services
Vaccines & Flu Shots

Vaccines + Flu Shots

Corporate Clinics
COVID 19
FLU
School
Shingles
Travel

Customer Service

Get Health & Wellness Straight to Your Inbox

Instagram

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Email(Required)

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Contact Form

Locations
History
Articles
Careers

Omaha – Downtown
2915 Leavenworth St
402-342-6548
Omaha – Midtown
5002 Dodge St
402-553-8901
Omaha – Millard
12741 Q St
402-895-3102
Kohll’s Extended Care
12767 Q St
402-895-7037
Lincoln, NE
3333 O St
402-476-3342
Malvern, IA
403 Main St
712-624-9050

View All Hours + Locations

Quick Links

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Locations

Omaha – Downtown
2915 Leavenworth St
402-342-6548

Omaha – Midtown
5002 Dodge St
402-553-8901

Omaha – Millard
12741 Q St
402-895-3102

Lincoln, NE
808 N 27th St
402-476-3342

Malvern, IA
403 Main St
712-624-9050

View All Hours + Locations

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