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
Recommended tests for sleep disorder diagnoses
Sleep Medicine Order Set (Diagnosis with Test Request)
Required for referral to a Sleep/Wake Disorders Center