booking form | Alive Medical

Important Notice

If you are a doctor ordering an appliance, please log in to your member area and order here, this form is used for direct bookings by patients

Patient Booking Online

First Name *

Last Name *

Email *

Phone *

Special Request

Your Doctor's Name

Booking Procedure:

Fill up all the information required in the sleep recording appointment (sidebar right of the webpage). Your address should be detailed and correct; the sleep record device will be delivered to the same address.
Select your convenient date to receive the sleep device accordingly.
Proceed with the payment online.
Fill up all the information required in the questionnaire.

Doorstep Delivery:

Our Company representative or Courier will deliver the device to your doorstep; make sure that someone will be available at the specified location and date to receive the device.

Same Day Night:

Hook-up the sleep device before you sleep; watch our website videos for the device installation by clicking the "sleep recording" in our website.

Next-day Morning:

Remove the effort belts from your body, disconnect all the wires from the sleep device and put all back in the plastic bags.

Doorstep Collection:

Our Company representative or Courier will collect the device from your doorstep. Please make sure that someone will be available at the specified location and date to hand over the device to us.