Get Ri Kent Hospital Sleep Lab Order Form 2009-2025

This guide is designed to assist users in completing the RI Kent Hospital Sleep Lab Order Form online. By following these clear and detailed instructions, users can ensure that all necessary information is provided accurately.

Follow the steps to complete the form effectively.

1. Click ‘Get Form’ button to obtain the form and open it in your document editor.
2. Fill in the patient’s name, date of birth, and phone number in the designated fields at the top of the form.
3. Select the study requested by checking one of the options provided, such as PSG Polysomnogram, Split night, CPAP titration, or MSLT.
4. If there are any special needs or considerations, mark the appropriate checkboxes and indicate any necessary details, such as required oxygen levels or the need for caregiver assistance.
5. Select the relevant diagnosis by checking the box next to one or more conditions that apply.
6. In the medical/sleep history/symptoms section, check all symptoms that the patient experiences to meet medical necessity.
7. Choose the customized patient follow-up options that apply, based on the diagnostic outcomes.
8. Indicate the referring physician’s name and contact information, ensuring the physician’s signature and date are completed.
9. Ensure to include any required office history and progress notes as specified, and finalize your form.
10. Once completed, save your changes, then download, print, or share the form as needed.

Complete the RI Kent Hospital Sleep Lab Order Form online today to ensure a smooth process for your medical needs.