Rental Form Thank You

Thank You!

Your submission has been received.

Thank you for submitting your rental details. A Rental Specialist will call you within 1 hour to finalize your order. If it is urgent, please call (888) 235-0623.

In the meantime, we require a copy of your prescription from a doctor showing a need for oxygen. You can upload below, fax to 1-888-960-0441 Attention: Rentals or you can also email your prescription to rentals@amsrco.com. You will be contacted within 1 hour to have your order finalized. Thanks again!



Upload Your Prescription

For the quickest turn around give us your name and upload an image or PDF of your prescription right here. Our team will have access to it right away. We will not charge your card or ship your order until we receive a valid prescription.


Get Internet Pricing

Complete the fields below to receive Spring Sale Pricing! 

Download our Oxygen Therapy Kit

Educate yourself with our Oxygen Therapy Info Kit. It's easy and free. Complete the fields below to download the kit or click the button below to have it sent to your address.