Jiva Health Inc.2182 East St, Concord, CA 94520Phone: (925) 685-4224 Fax: (925) 685-6997
REM Sleep Diagnostics Inc.2601 Nut Tree Road, Suite C,Vacaville, CA 95687Phone: (707) 469-8400 Fax: (707) 469-8469
Contra Costa Sleep Center2121 Ygnacio Valley Road E101,Walnut Creek, CA 94598Phone: (925) 944-0166 Fax: (925) 848-3999
I have received one of the following Home Sleep Apnea Testing devices from Jiva Health.
I will carefully follow the instructions for the device received matching the picture below.
Failure to return the device after 48 hours serves as authorization to bill the responsible party the amount of $2000 for replacement of the device. I also agree to pay $25 per day beyond the return date and for all fees and costs associated with collecting this billable charge, including collection agency and attorney fees. These fees will be added to the purchase price.
At Jiva Health, we offer services in primary and chronic care, medical weight management, diabetes, podiatry, endocrinology, sleep medicine, adult and pediatric allergy, immunology, and internal medicine.
We’re here to help you live your best life!
Book an appointment at our nearest multi-specialty medical clinic today.
Corporate Head Office: 2182 East St, Concord, California 94520, USAPhone: 925-685-4224Fax: 925-685-6997