Thank you for using Inogen's on-line Provider RMA Request Form. Please complete all required fields in the form below. When finished, simply submit your request by clicking on the 'submit information' button at the bottom of the form. If you are an Inogen One user, please contact your oxygen provider for assistance.

Provider Information
Provider company name *
Contact name *
Email *
Phone *
Address line 1
Address line 2
City
State
Zipcode
Shipping Address (if different from company address)
Address line 1
Address line 2
City
State
Zipcode
Product Information
Product being reported *	Please select a product: Inogen One Concentrator Inogen One Battery Inogen One Satellite Conserver Inogen One AC Power Supply Inogen One External Battery Charger Inogen One Mobile Power Charger Inogen One Universal Power Supply Inogen One Cart Inogen One Carry Bag Other
Serial number of product, if applicable (note: only the concentrator, battery, universal power supply, external battery charger, and satellite conserver are serialized)
Purchase Order (PO) Number
Brief description of product complaint (please include specific error messages, if applicable):*

Please DO NOT return your Inogen One without first obtaining an Inogen RMA number. All packages received without a valid RMA number clearly visible on the outer box will be refused.

Inogen provides this service for your convenience. We will not resell or redistribute your personal information.