Patient Questionnaire

You have two options for completing a questionnaire:

  • Enter the information on the fillable PDF and click ‘Print’ at the end of the document
  • Print the questionnaire and fill it out by hand

The Sleep Log and Authorization Signature must be completed by hand.

Please bring the completed questionnaire(s) to the office or sleep lab.

Sleep Study Questionnaire

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HIPPA Policy

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PHI Disclosure Form

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One Week Sleep Log (for MSLT study only)

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