Get the free sleep study prescription referral form - White Plains Hospital

Sleep Study Order Form Please fax patient demographics, referral form, H&P, & a copy of the patients' insurance cards to (316) 6873056 Patient Name: DOB: Telephone: (Home) (Daytime) Primary Insurance:

How to fill out sleep study prescription referral

How to fill out sleep study prescription referral

1. Obtain a sleep study prescription referral from your primary care physician or sleep specialist.
2. Provide your contact information and insurance details to the healthcare provider when scheduling the sleep study.
3. Attend the sleep study appointment at the designated sleep center or clinic.
4. Follow any pre-study instructions provided by the healthcare provider, such as avoiding caffeine or certain medications.
5. Bring any necessary personal items for the sleep study, such as comfortable sleepwear, toiletries, and medications.
6. Eegister upon arrival at the sleep center and discuss any concerns or questions with the sleep technologist.
7. During the sleep study, electrodes will be attached to your scalp, temples, face, chest, and legs to monitor brain waves, eye movements, heart rate, and muscle activity.
8. Try to sleep as naturally as possible during the study, following your usual sleep routine and avoiding any stimulants or distractions.
9. After the sleep study, the collected data will be analyzed by sleep specialists, who will interpret the results and provide a diagnosis or treatment recommendations.
10. Follow up with your healthcare provider or sleep specialist to discuss the sleep study findings and the next steps for treatment, if necessary.

Who needs sleep study prescription referral?

1. Individuals experiencing symptoms of sleep disorders, such as excessive daytime sleepiness, loud snoring, pauses in breathing during sleep, or insomnia, may need a sleep study prescription referral.
2. People with medical conditions that can disrupt sleep, such as obstructive sleep apnea, restless legs syndrome, narcolepsy, or insomnia, may also require a sleep study referral.
3. Sleep study prescription referrals are often needed for individuals who have already tried conservative measures, such as improving sleep hygiene or making lifestyle changes, but have not achieved satisfactory results.
4. Additionally, individuals who are at high risk for sleep disorders due to factors such as obesity, older age, or a family history of sleep disorders may be advised to undergo a sleep study.
5. Ultimately, the decision to seek a sleep study prescription referral should be made in consultation with a healthcare provider or sleep specialist.

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