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  • Referral Form - Fusion Sleep

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REFERRAL FORM Please FAX along with office notes and insurance card to 678.840.3777 OFFICE TO COMPLETE OFFICE CONTACT DETAILS Name: Phone: Fax: PATIENT PERSONAL INFORMATION Last Name: First Name:.

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Sleep disorder specialists should be consulted in cases of significant daytime sleepiness, persistent insomnia and disturbed behavior during sleep. Referral to a sleep disorder specialist is also appropriate for evaluation of breathing-related sleep disorders.

Fusion Sleep is formulated ing to the principles of TCM to address sleeplessness by incorporating the herb ziziphus, which is traditionally used in TCM to calm the Shen, settling the mind and spirit.

Your health care provider may recommend a sleep study if it's suspected that you have: Sleep apnea or another sleep-related breathing disorder. In this condition, breathing stops and starts repeatedly during sleep. Periodic limb movement disorder.

While you are sleeping, your body physiology is different from when you are awake. As a result, we need to take several different measurements during the sleep study including heart rate, breathing, sleep level (as measured by the EEG on your scalp), oxygen levels, and movement.

Sleep apnea is a common condition in which your breathing stops and restarts many times while you sleep. This can prevent your body from getting enough oxygen.

You should see a doctor if you're having any of the following symptoms: Excessive daytime sleepiness. Chronic loud snoring. Insomnia (trouble falling or staying asleep)

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Keywords relevant to REFERRAL FORM - Fusion Sleep

  • llc
  • titration
  • Epworth
  • RLS
  • Suwanee
  • parasomnias
  • clarifications
  • sleepiness
  • restorative
  • dob
  • neurologic
  • apnea
  • consultations
  • referrals
  • dispensing
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© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232
Form Packages
Adoption
Bankruptcy
Contractors
Divorce
Home Sales
Employment
Identity Theft
Incorporation
Landlord Tenant
Living Trust
Name Change
Personal Planning
Small Business
Wills & Estates
Packages A-Z
Form Categories
Affidavits
Bankruptcy
Bill of Sale
Corporate - LLC
Divorce
Employment
Identity Theft
Internet Technology
Landlord Tenant
Living Wills
Name Change
Power of Attorney
Real Estate
Small Estates
Wills
All Forms
Forms A-Z
Form Library
Customer Service
Terms of Service
DMCA Policy
About Us
Blog
Affiliates
Contact Us
Privacy Notice
Delete My Account
Site Map
All Forms
Search all Forms
Industries
Forms in Spanish
Localized Forms
Legal Guides
Real Estate Handbook
All Guides
Prepared for You
Notarize
Incorporation services
Our Customers
For Consumers
For Small Business
For Attorneys
Our Sites
US Legal Forms
USLegal
FormsPass
pdfFiller
signNow
airSlate workflows
DocHub
Instapage
Social Media
Call us now toll free:
1-877-389-0141
As seen in:
  • USA Today logo picture
  • CBC News logo picture
  • LA Times logo picture
  • The Washington Post logo picture
  • AP logo picture
  • Forbes logo picture
© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232