Get the free Please fax this form to: 250-596-1875

SLEEP DISORDER REFERRAL FORM Please fax this form to: 2505961875PLEASE CHOOSE ONE OF:PATIENT INFORMATIONAPNEA FAST TRACK TMNameInhome sleep study followed by APA therapyforObstructive Sleep Apnea

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1. Gather all the necessary information that needs to be filled in the form.
2. Start with the basic information such as name, contact details, and date.
3. Fill in the required fields such as the purpose of the fax, recipient's information, and sender's information.
4. Double-check all the filled information for accuracy and completeness.
5. Provide any additional attachments or supporting documents if required.
6. Review the form one final time to ensure everything is filled correctly.
7. Print out the form if necessary, along with any attachments.
8. Fax the form to the designated fax number, making sure to dial the correct number and include any necessary cover sheets.
9. Keep a copy of the faxed form for your records.
10. Confirm the successful transmission of the fax, if possible.

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