Therapy Your Way Decals - HillRomRespiratory

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Therapy Your Way Decals

Therapy Your Way decals are designed to uniquely customize the look of your device. The high quality decals are easy to put on and remove. Choose from 12 different decal sets to make your device your own! Fill out the form below and transform your ordinary device uniquely to your style!

Aquatic Beach Blank Cars & Trucks

Dinosaur Galaxy Music Nature

Pet Princess Sports Zoo

*Decals available without charge for eligible patients
*Restricted to a limited number of decals per year

Ordering Decals

If you have multiple devices, please fill out the form twice

Device Type (check one)* The Vest® Airway Clearance System
The VisiVest® Airway Clearance System
The VitalCough® System

Device serial number (seven digit number)*

*The Vest® Airway Clearance System serial number (SN) is located on the back of the device

*The VisiVest® Airway Clearance System serial number (SN) is located on the back of the device

*The VitalCough® System serial number (SN) is located on the side of the device

Please select which decal design you would like*

Requester Name (if other than patient)

Relationship to patient (if other than patient)

Patient First and Last Name*

Shipping Address*

Phone number*

Email address*

Reason for ordering new decal* New decal order
Normal wear and tear of decal
Replacement of device
Change style of decal
Lost decal
Other

If you chose other, please explain why you're ordering a new decal

*required