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  • Sleep Center Order Form - Nwh.org

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Sleep Center Order Form Please FAX Sleep Study Order Form to (617) 2436776 Patient should call (617) 2435699 directly to schedule PATIENT NAME: DOB: PHONE: NWH MEDICAL RECORD #: INSURANCE: PRE AUTHORIZATION.

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Order the sleep study (1) Completed demographics and insurance information. Most insurance plans cover sleep studies. ... (2) Clear reasons for testing (including progress notes) Why are you ordering the sleep study? ... (3) Select the proper study. ... (4) Send your order to the sleep center. ... Use this form to order a sleep study:

Sleep tests at a sleep center usually last overnight. Removable sensors will be placed on your scalp, face, eyelids, chest, limbs, and a finger. These sensors record your brain waves, heart rate, breathing effort and rate, oxygen levels, and muscle movements before, during, and after sleep.

Your first study is a PSG (polysomnogram). It determines if you have sleep apnea. During this study, we will hook you up to electrodes that will monitor you while you sleep. The study will monitor body functions such as brain waves, heart rate, leg movements and breathing during sleep.

If you already have a well-established relationship with your PCP, simply make an appointment with them and let them know about your sleep problems. Explicitly state that you would like to undergo a sleep test. If your doctor agrees that the test could be beneficial, they will refer you to a local sleep clinic.

Conditions that a sleep study can diagnose include: Sleep apnea (obstructive and central). Narcolepsy. Periodic limb movement disorder (including restless legs syndrome).

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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