You may also fax or mail this form to:
Depot DrugPO Box 161020Salt Lake City, UT 84116Fax: 801-595-2051
Patient Employer: UP Health
Unattended, Type III Portable Recorder: measures blood oxygen saturation (SpO2), pulse rate, airflow, snoring levels, head movement, and head position to detect apnea and hypopnea events (CPT 95800).