If you are a tracheostomized or ventilator dependent patient using a Passy-Muir Speaking Valve, just send us a photo of you wearing your Passy-Muir Speaking Valve, fill out a Toby Form, and we'll send you a free Toby Tracheasaurus™ Plush Toy!

Download Toby Form  (Requires Adobe Reader)

If you are under 18, please get permission from your parent(s) or guardian before sending us a request. If you are unable to complete the form yourself, please have your parent or guardian fill it out for you.

Please mail your completed Toby Form along with your photo(s) to:

Passy-Muir Inc.
Adopt-A-Toby Program
PMB 273, 4521 Campus Dr.
Irvine, CA 92612