Sleep Center Referral Form for McLaren Greater Lansing

Sleep Center Referral Form

Note: Fields marked with an * indicates required field

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Note:Add the following comment to the form: If any box is checked in this section the patient most likely will NOT qualify for an OCST (at home study) due to their comorbidities and complexity of their condition. OCST may not be reliable in these cases. An in-lab study is recommended. Please verify with the patient's insurance company.
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Insurance:
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