Tell Us Your OxySure Save Story

OxySure is excited to hear about any and all incidents or events where OxySure was used in a save. It helps us understand how we can improve, where or how the product is used, and by whom. It also raises awareness and education, and helps us be better equipped to raise awareness and education about how lives can be saved!


Join our rapidly growing group of OxySure Heroes and OxySure Allstars! We have an annual dinner event to which all our OxySure Heroes and OxySure Allstars are invited, and prizes are awarded such as family trips to Hawaii, iPads/iPhones and other exciting prizes!


Important: Any and all information provided to us through this form will be held in the strictest confidence, unless you provide us permission otherwise as below. Further, if you wish to withhold any identifying information – such as the name(s) of the patient involved, and/or the name(s) of the institution where the incident(s) took place, and/or the name(s) of the rescuers involved, please feel free to do so.

OxySure Systems, Inc. (OXYS)

10880 John W. Elliott Road, Suite 600

Frisco, TX 75033 USA

Tel: (+1) 972-294-6450

Toll free: 1-888-7OXYSURE

Fax: (+1) 972-294-6501

Email: info@oxysure.com

Full Name (or "anonymous")

Professional affiliation? E.g. Doctor? Nurse? Athletic Trainer?

What type of medical emergency was involved?

Date/time of the emergency?

E-mail

Phone

Full Home Address:

Place where emergency occurred?

Please describe what happened?


May we have your permission to publish your story?

Yes, feel free to publish my story

No, please keep the information private

It's O.K. to publish my story but please use anonymous names

For example, “a teacher at a Broward County, Florida middle school did this…” or “a colleague of the patient said that…”