ClientPaperwork

New Patient Intake Forms: 

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Adults

14-Day Sleep Diary Form: Part 1

14-Day Sleep Diary Form: Part 2

Epworth Sleepiness Scale

Insomnia Severity Index

International Restless Legs Scale

STOP-BANG

Morningness-Eveningness Questionaire

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Children & Adolescents

Children's Sleep Habits Questionnaire

Cleveland Adolescent Sleepiness Questionnaire

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ProviderReferRals

We are pleased to accept referrals from other healthcare providers.

We frequently collaborate with our clients Primary Care Providers, Pulmonology, Critical Care & Sleep Medicine Specialists, Dental Sleep Medicine Specialists, Mental Health Providers and more. 

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Information related to clients who are being referred to our practice can be electronically faxed to 512-856-6228 or you may direct your patients directly to our website.