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Squite, Texas 75044 75042 75149 Sleep Referral Form Patient Information Patient Name: Insurance Information Carrier: Address: Telephone: City & Zip: State Group No.: Cell #: ID No: Home #: Person Insured: Work #: Insured SSN: SSN: DOB: Insured DOB: Clinical Observations: Heavy Snoring Short Temper/Irritability Obesity Witness Apneas Trouble concentrating Crowded Hypopharnyx Snore Arousals Forgetfulness Enlarged Neck Circumference Daytime Drowsiness Frequent Napping E.

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Can I refer myself for a sleep study? All our services are funded by OHIP and so you cannot request to have a sleep study done and pay for it yourself. Your family doctor or specialist must send us a referral. There are some exceptions however.

We process referrals urgently if the patient's occupation is a driver or for any occupations where excessive sleepiness is of concern. We prioritise patients whose sleep behaviours have caused or have the potential to cause serious harm to themselves or others.

You can search online for your nearest sleep clinic, but you'll need a referral from your GP to access a sleep clinic on the NHS. It's worth discussing your sleep problem with your GP first as they will know your medical history and how it may be affecting your sleep.

Sleep specialists are most often neurologists, pulmonologists, or psychiatrists who have completed additional training in sleep medicine.

Your consultant or GP can refer you. This clinic is for patients who snore with daytime sleepiness and/or pauses in breathing during sleep (sleep apnoea). This clinic is run by: Rexford Muza.

There are many reasons to be referred to the sleep clinic. Perhaps you are having difficulty falling asleep or staying asleep, falling asleep at work, sleep walking or talking, snoring or feeling excessively restless at night. Or perhaps you are experiencing difficulty concentrating or awakening with morning headaches.

The test is fully covered by OHIP. Medications or a complete list of your medications. Please continue taking all your medications as usual, unless specifically instructed by your doctor to do otherwise. Let the technologist know, if you have any allergies, especially to tape adhesive.

What Should I Expect During My First Visit with a Sleep Specialist? During your initial visit, your sleep specialist will review your medical history, perform a physical exam, and ask questions about your sleep. It's important for your doctor to learn when your sleep problem started and how it has progressed over time.

However, they typically require a referral from a patient's primary care provider (PCP). 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 a GP thinks you might have sleep apnoea, they may refer you to a specialist sleep clinic for tests. At the clinic, you may be given devices that check things like your breathing and heartbeat while you sleep. You'll be asked to wear these overnight so doctors can check for signs of sleep apnoea.

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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