Oxygen To Go

Oxygen Rental Process

 Oxygen Rental Agreement & Patient Intake Form    



Are you ready to rent a device? Here is the process:

  • Read the Rental Checklist to make sure that you qualify for a POC. (If the answer is “maybe” or “no”, give us a call to discuss your options at  (877) 736-8691.)
  • Call us at (877) 736-8691 to discuss your needs, the type of POC and accessories that are right for your ailment, the price of the rental, and the details of your travel itinerary.
  • Download the form listed at the bottom of this checklist: the patient intake form and the rental agreement.                        

  • Print out the form, fill in every space, and sign all noted areas..
  • Provide a method of payment, usually a credit card number.
  • Note our Cancellation Policy on the Rental Agreement.
  • Fax the forms to us at 866-903-9709.
  • Call 877-736-8691 to confirm your fax has been received 20 minutes after you fax.
  • Failure to submit the Physician Statement at least 48 hours prior to travel may result in delays or refusal to board.

Please download the below and complete all pages.



 Oxygen Rental Agreement & Patient Intake Form    


            For home unit rental only. 
          Home Rental Agreement  


(Don't complete a Battery Rental Agreement if you have completed the Patient Intake Form & Rental Agreement)

You will receive a portable oxygen concentrator at your home (or wherever you have specified) at least 24 hours before your scheduled departure. We usually send the device via Federal Express 2nd Day Air.) The POC and its accessories will arrive in a blue or green hipping container.

 The device is very simple to use. Nonetheless, to honor our commitment to reduce the stress of traveling with oxygen, one of our customer agents will call you to explain the device and accessories.

In most situations, you will only take the device, carrying case, power cords, and spare batteries. The shipping container stays at your home, awaiting your return - if your trip is a "One-Way". 

When traveling with OxygenToGo equipment, our agents, respiratory therapists, and doctors are available 24 hours a day to answer questions, explain the operations of the device, or provide an immediate replacement if necessary. These are all part of the OxygenToGo Difference.

When you get home from your travels, re-insert the device and accessories into the shipping container, affix the return shipping label, and give us a call to have the device picked up!


Commonly requested airline Physician's Statements. 

Failure to submit the Physician Statement at least 48 hours prior to travel may result in delays or refusal to board.

Delta Airlines oxygen form    





If you need to update your Adobe Reader click here.

“Oxygen to Go” is a registered trademark of Oxygen to Go, LLC

Inogen One

Customer Testimonial (view all)

I can’t say enough about oxygentogo.

I have absolutely no problems boarding or while on the airplane from los angeles to honolulu and on my connedting flight to knoa hawaii. It worked with no problems on each flight.

I was very pleased with the oxygen monitor that was included in the kit. It helped me know and realize when I needed the oxygen. There have been times I haven’t used my oxygen as I would just rest and feel fine. By monitoring it I knew when my level was below 90. I can stop fooling myself now and use the oxygen.

Jimmy and david were so helpful in getting me the kit with everything I needed. I ordered only 3 days prior to our flight as I was told by hawaiian airlines to call 72 hours in advance for oxygen. When I called they informed me they gave me oxygentogo’s phone number. I called they immediately explained the service to me.

David faxed me the contract and I faxed my signed copies back to them. The kit was delivered to me on wednesday and gave me time to read and understand the machine.

I had a question that evening as to how to attach the machine to the rolling cart and called the 800 number. Their answering service immediately found jimmy as I told them I had a problem. He was so kind and helpful answering many of my questions. These gentlemen are very polite and caring to their clients.

i feel the oxygentogo should be better advertised. Over a month prior to my trip I called five different oxygen distributotors to try and rent a machine and they all said “no one does that” they’d only try to seel me the equipment. Because of their kindness and concern i’ll be purchasing a machine from your company if I could afford one, however i’ll have to wait until I hit the lottery. But in the meantime i’ll be renting your kit for every flight I take!

Sincerely, Barbara O.