MAKE SLEEP HEALTH SCREENING
PART OF YOUR DAILY PRACTICE.
SCREEN
REFER
REVIEW
Patient Referral Form
Sleep Apnea
Sleep Metrics partners with your practice to provide your patients affordable and efficient testing for Obstructive Sleep Apnea (OSA).
Not only is a Home Sleep Test significantly more affordable for your patients than a lab study, your patients are more likely to perform a sleep study when they know that it can be done in the privacy and comfort of their own home.
Need to refer a patient?
To refer a patient to Sleep Metrics, simply download and complete the Patient Referral Form and fax it to the number below. The form If you have questions please contact us at 855-707-5337 or on email at hello@sleepmetrics.com
Fax orders to: 1-888-503-3693
Screen patients using STOP-BANG questionnaire. If 2 of the 4 STOP questions are a yes...
Fax completed Sleep Metrics Rx, demographics and insurance information, and chart notes
Provide patient with Sleep Metrics referral information sheet
Go over sleep study results and therapy options
Refer for therapy
Schedule office visit when you receive confirmation of therapy
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SLEEP APNEA DIAGNOSIS
& THERAPY SIMPLIFIED
The Latest Technology & Personal Service
Utilizing the AlicePDX by Phillips, you the patient are able to sleep in your own bed, delivering improved results and more accurate findings.
Patients are more accepting of a study that provides them privacy and comfort in their own home, as well as potential significant cost savings when compared to a lab setting for the diagnosis of Obstructive Sleep Apnea.
