Doctor Referrals

Referring a patient for sleep apnea evaluation and treatment should be simple and efficient. Our referral page provides healthcare providers with an easy way to connect patients with our team through a secure online referral form, eliminating the need for printing, faxing, or paperwork delays. You’ll also find our contact information and referral resources, making it easier to coordinate care and help patients access the sleep services they need.

(954) 589-0292

Referral

A Faster, More
Convenient Referral Process

We understand that coordinating patient care requires clear communication and efficient processes. That’s why we’ve made referrals easier with a digital submission option that allows providers to send patient information directly to our team. Once received, we coordinate the next steps, communicate with the patient, and help ensure they receive timely evaluation and treatment for their sleep-related concerns.

PATIENT INFORMATION

Patient Name(Required)

Date of Birth(Required)

MM slash DD slash YYYY

Phone(Required)

Insurance

Reason for Referral(Required)

Obstructive Sleep Apnea (OSA)

Primary Snoring

CPAP Intolerant / CPAP Alternative

Oral Appliance Therapy Evaluation

OSA Follow-Up / Appliance Adjustment

Other

Others

Sleep History / Symptoms(Required)

Loud snoring

Witnessed apneas

Excessive daytime sleepiness

Morning headaches

Non-restorative sleep

Bruxism

TMJ symptoms

Hypertension

Other

Others

Sleep Study Status(Required)

Prior Sleep Study Completed

Home Sleep Test (HST)

In-Lab Polysomnography (PSG)

No Sleep Study – Evaluation Requested

AHI (if known)

Date

MM slash DD slash YYYY

REMARKS

Clinical Notes(Required)

Referring Provider Signature:

Date

MM slash DD slash YYYY

Please forward consultation notes and treatment outcomes to the referring provider.

The Doctors of Sleep Apnea is committed to providing the highest quality sleep solutions. Our expert team offers personalized care and advanced technology to ensure restful nights and healthier lives.