ARBITRATION OPT-OUT INSTRUCTIONS
If you are a customer, patient, responsible party, or other authorized representative of a patient, you have 30-days after the date on which you first signed a Sales, Service, and Rental Agreement containing an arbitration provision (the “Opt-Out Deadline”), to exercise your right to “opt-out,” or choose not to participate in, mandatory arbitration of all disputes with Apria Healthcare or any other company with which Apria Healthcare is affiliated by common ownership or contract.
To opt-out of the mandatory arbitration provision in your Sales, Service, and Rental Agreement, before the Opt-Out Deadline referenced above, you must notify Apria of your decision to opt-out by one of the following:
1. Call the Company’s Arbitration Opt-Out Line at: 1-866-494-5396 and follow the instructions provided.
During the opt-out process, please be prepared to provide the following information required to process your notification:
• Patient’s Full Name
• Patient’s Apria I.D. Number
• Patient’s Address
• Patient Telephone Number
• Your Name, Contact Information, and Relationship to Patient (if different from the Patient)
2. Send an email to the Company by completing and submitting the form below: