Patient Registration forms:
General Information / Insurance Sheet - this is a standard form that
must be filled out completely.
Patient Medical History - Please bring a list of your medication in
addition to this sheet.
If records such as pathology reports,
surgical summaries, or hospitalizations will need to be obtained, please
print the Release of
Medical Information and bring it with you to your appointment.
If you are being referred for a
Sleep-Related disorder such as insomnia, sleep apnea, restless legs
syndrome, or for diagnostic work-up, please fill out the
ESS Sleepiness Questionnaire also.