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PATIENT FORMS

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NEW PATIENT REGISTRATION FORM

Please print this form and bring it with you to your appointment along with your insurance cards, picture ID, and medication list.

SLEEP STUDY PACKET

Please print this packet and bring it with you to your sleep study appointment. There is information regarding the study, instructions to follow and a questionnaire to be filled out.

MEDICAL RELEASE FORM

If you have had prior sleep testing at another facility, please sign this document and bring it with you to your appointment or fax/drop it off before hand.

Forms: Files

PROVIDER FORMS

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Incoming referrals are processed and called within 2 business days. Letters are sent to the referring provider once the patient has been scheduled.

REFERRAL FORM

Forms: Files

Phone (530) 743-5428

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