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RALEIGH NEUROLOGY SLEEP MEDICINE PROGRAM 4111 BEN FRANKLIN BLVD DURHAM, NC 27704 TEL 9197198834 FAX 9195820528 SLEEP STUDY QUESTIONNAIRE PART I: GENERAL w w w.raleighneurology.com INFORMATION D a
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How to Fill Out Raleigh Neurology Sleep Medicine:

01
Start by obtaining the required form from Raleigh Neurology Sleep Medicine. You can either visit their office or download the form from their website.
02
Carefully read through the form and make sure you understand all the questions and sections.
03
Begin filling out the form by providing your personal information such as your full name, date of birth, address, and contact details.
04
Next, you may be required to provide your medical history, including any previous sleep disorders or treatments you have received.
05
The form may also inquire about your current medication and any allergies you have.
06
You will likely need to answer questions regarding your sleep patterns, such as how long it takes you to fall asleep, how many hours of sleep you typically get, and any difficulties you may experience during sleep.
07
In addition, you may need to describe any symptoms or concerns you have related to sleep, such as snoring, restless legs, or daytime fatigue.
08
If you have seen other healthcare providers for your sleep issues, you may need to provide their contact information for consultation or referral purposes.
09
Finally, review the completed form for accuracy and ensure all required fields have been filled in. If any sections are unclear, don't hesitate to ask Raleigh Neurology Sleep Medicine for assistance.

Who Needs Raleigh Neurology Sleep Medicine:

01
Individuals experiencing difficulty falling asleep or staying asleep on a regular basis.
02
Those who frequently wake up feeling tired or unrested, even after a full night's sleep.
03
People who snore heavily or have episodes of interrupted breathing during sleep, which may indicate sleep apnea.
04
Individuals with restless legs syndrome or other movement disorders that disrupt sleep.
05
People with chronic insomnia or other sleep disorders that significantly affect their quality of life.
06
Those who have already tried other sleep interventions or therapies without success.
07
Individuals who suspect they may have a sleep disorder, but have not yet been formally diagnosed.
08
Patients already receiving medical treatment for other neurological conditions at Raleigh Neurology who are experiencing sleep-related issues.
It is important to consult with a healthcare professional, such as the specialists at Raleigh Neurology Sleep Medicine, for proper evaluation and personalized treatment recommendations.
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Raleigh Neurology Sleep Medicine is a medical practice specializing in sleep disorders.
Patients with sleep disorders or those seeking treatment for sleep-related issues may be required to file with Raleigh Neurology Sleep Medicine.
To fill out Raleigh Neurology Sleep Medicine, patients must provide their medical history, symptoms, and any relevant information related to their sleep habits.
The purpose of Raleigh Neurology Sleep Medicine is to diagnose and treat sleep disorders to improve patients' overall quality of sleep and health.
Information such as medical history, symptoms, sleep habits, and any previous treatments or medications must be reported on Raleigh Neurology Sleep Medicine forms.
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