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REFERRAL FOR SLEEP STUDY 6733 N. Willow Ave., Suite 107 Fresno, CA 93710 Phone: 559.435.4700 Fax: 559.298.7951Karl Van Grundy, M.D. Lynn Keenan, M.D. Eyed Masri, M.D. David W. Lee, M.D., FCC Ibrahim
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How to fill out referral for sleep study

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How to fill out referral for sleep study

01
To fill out a referral for a sleep study, follow these steps:
02
Obtain the referral form from the sleep study center or your healthcare provider.
03
Fill out your personal information, including your name, address, phone number, and date of birth.
04
Provide your medical history, including any pre-existing conditions, medications you're currently taking, and any relevant symptoms or concerns.
05
Include any relevant diagnostic test results or previous sleep study reports, if available.
06
Specify the reason for the referral, such as suspected sleep apnea, insomnia, or other sleep-related disorders.
07
If your healthcare provider has specific instructions or preferences, make sure to follow them and include any required documentation.
08
Double-check that all the information provided is accurate and complete.
09
Submit the referral form to the sleep study center or your healthcare provider as instructed.
10
Follow up with the sleep study center or your healthcare provider to ensure they received the referral and schedule an appointment if necessary.

Who needs referral for sleep study?

01
A referral for a sleep study may be needed for individuals who are experiencing symptoms or conditions related to sleep disorders. Some common indications for a sleep study referral include:
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- Suspected sleep apnea (characterized by loud snoring, excessive daytime sleepiness, and interrupted breathing during sleep)
03
- Insomnia (persistent difficulty falling asleep or staying asleep)
04
- Narcolepsy (sudden, uncontrollable episodes of falling asleep)
05
- Restless legs syndrome (uncomfortable sensations and an irresistible urge to move the legs)
06
- Periodic limb movement disorder (involuntary leg twitching or jerking during sleep)
07
- REM sleep behavior disorder (acting out dreams physically while asleep)
08
- Chronic fatigue or unexplained daytime sleepiness
09
- Excessive snoring that disturbs you or your sleep partner
10
It is important to consult with a healthcare provider who can evaluate your symptoms and determine if a referral for a sleep study is necessary.
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Referral for sleep study is a document or recommendation from a healthcare provider for a patient to undergo a sleep study to diagnose sleep disorders.
Referral for sleep study can be filed by a primary care physician, specialist, or healthcare provider.
Referral for sleep study can be filled out by providing patient information, reason for referral, and any relevant medical history or symptoms.
The purpose of referral for sleep study is to diagnose and treat sleep disorders such as sleep apnea, insomnia, or narcolepsy.
Information such as patient's name, date of birth, contact information, reason for referral, relevant medical history, and healthcare provider's information must be reported on referral for sleep study.
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