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OVERNIGHT PULSE OXIMETRY REFERRAL PHYSICIAN ORDER FORM Patient testing by: Respiratory Diagnostics, LLC Independent Diagnostic Testing Facility (IDF) Office 803-786-1588 Fax 888-817-0201 DME Company:
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How to fill out overnight pulse oximetry referral

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How to fill out overnight pulse oximetry referral:

01
Begin by filling in the patient's demographic information, such as their name, date of birth, gender, and contact information.
02
Next, provide the patient's medical history, including any known conditions or previous diagnoses. This will help the healthcare provider understand the context for the referral.
03
Indicate the reason for the referral, specifying the need for overnight pulse oximetry. This could include suspected sleep apnea, monitoring respiratory function, or assessing oxygen saturation levels during sleep.
04
If there are any specific instructions or preferences for the sleep study, note them down. This could involve the use of specific equipment, the preferred sleep environment, or any unique considerations.
05
Ensure that the referral is signed and dated by the referring healthcare provider, including their name, professional title, and contact information.
06
Lastly, make a copy of the referral for your own records before submitting it to the appropriate department or sleep center.

Who needs overnight pulse oximetry referral:

01
Patients who have been experiencing symptoms of sleep-disordered breathing, such as excessive daytime sleepiness, loud snoring, or witnessed pauses in breathing during sleep, may require an overnight pulse oximetry referral.
02
Individuals who have been diagnosed with conditions that affect respiratory function, such as chronic obstructive pulmonary disease (COPD) or congestive heart failure, may also need overnight pulse oximetry to monitor their oxygen levels during sleep.
03
Additionally, individuals who have undergone certain surgical procedures or interventions, such as tonsillectomy or adenoidectomy, may require pulse oximetry monitoring to ensure adequate oxygenation during the healing process.
Note: It is always best to consult with a healthcare professional to determine whether an overnight pulse oximetry referral is appropriate for a specific individual.
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Overnight pulse oximetry referral is a medical test that measures the level of oxygen in a patient's blood while they sleep.
Healthcare providers and physicians are required to file overnight pulse oximetry referral for patients who exhibit symptoms of sleep disorders or breathing problems.
To fill out overnight pulse oximetry referral, healthcare providers need to include the patient's demographic information, medical history, symptoms, and reasons for the test.
The purpose of overnight pulse oximetry referral is to diagnose sleep disorders such as sleep apnea and monitor the patient's oxygen levels during sleep.
The information reported on overnight pulse oximetry referral includes patient's name, date of birth, insurance information, referring physician, and reasons for the test.
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