Physician pre-testing forms

If you suspect a patient may have a sleep disorder, you may refer the patient to any of our area facilities. You may download and fill out the forms below, and then fax to 317-351-2785.

Pre-Sleep Testing History and Physical
Required by the American Academy of Sleep Medicine for all scheduled patients prior to their study

Sleep Diagnoses/Tests
Recommended tests for sleep disorder diagnoses

Sleep Medicine Order Set (Diagnosis with Test Request)
Required for referral to a Sleep/Wake Disorders Center