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CA Rady Childrens Hospital San Diego DTF1489 2019-2025 free printable template

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READY CHILDREN HOSPITAL SAN DIEGO CENTER FOR HEALTHY SLEEP 3020 CHILDREN SWAY, SAN DIEGO CA 92123 PHONE: 8589664066 FAX: 8589668201×DTF1489* DTF1489DIAGNOSTIC SLEEP STUDY REQUISITION FORM Patients
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How to fill out sleep therapy order form

01
Start by entering the patient's personal information, such as their name, address, and contact details.
02
Provide details about the healthcare provider, including their name, contact information, and provider ID.
03
Specify the type of sleep therapy needed, such as positive airway pressure (PAP) therapy, bi-level positive airway pressure (BiPAP) therapy, or oxygen therapy.
04
Indicate the duration of therapy, including the start and end dates.
05
Include any additional instructions or requirements for the sleep therapy, such as specific equipment or settings.
06
Make sure to sign and date the form to authorize the sleep therapy order.
07
Finally, review the completed form for accuracy and completeness before submitting it.

Who needs sleep therapy order form?

01
Sleep therapy order forms are needed by healthcare providers or physicians who are prescribing sleep therapy for patients with sleep disorders or respiratory conditions.
02
Patients who require sleep therapy may also need this form to provide authorization and documentation for insurance purposes or to obtain the necessary equipment and supplies.
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Bring comfortable pajamas and a change of clothes for the morning. Include the same items you would take for a stay at a hotel. You may also want to bring your own pillow. Bring your medications if you will need to take them while you are away from home.
A sleep study may be done at a sleep disorders unit within a hospital or at a sleep center. The test is usually performed at night. But it may be done during the day for shift workers who usually sleep in the daytime.
Before bedtime, a technologist glues or tapes painless sensors to your head and body that will record information. If you need to use the bathroom, the technologist will detach the sensors and reattach them when you return. You can read and relax in bed until it is time to go to sleep.
A sleep study is a diagnostic test that involves recording multiple systems in your body while you sleep. Key body systems monitored include your brain, heart, breathing and more.
“You arrive around 9 o'clock at night, meet with a technician and they hook you up with a whole lot of electrodes on your scalp, chin, chest and legs, and they watch you while you sleep,” says sleep medicine physician Aris Iatridis, M.D. Most patients are discharged early the next morning.
You may feel uncomfortable because of the sensors and other measuring devices attached to your body. However, nearly everyone eventually falls asleep during a sleep study. Even if you get less sleep than you normally do at home, a sleep study only requires two hours of sleep.

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The sleep therapy order form is a document used by healthcare providers to prescribe and authorize sleep therapy treatments, such as Continuous Positive Airway Pressure (CPAP) therapy for patients with sleep disorders.
Healthcare providers, such as physicians or nurse practitioners, who prescribe sleep therapy to patients are required to file the sleep therapy order form.
To fill out the sleep therapy order form, the healthcare provider should include patient information, details of the diagnosis, specific therapy prescribed, and the provider's signature and credentials.
The purpose of the sleep therapy order form is to ensure that patients receive the necessary sleep therapy treatment as prescribed by their healthcare provider, facilitating proper documentation and insurance reimbursement.
The information that must be reported includes the patient's name, date of birth, diagnosis, prescribed therapy, provider's contact information, and signature.
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