Community Health Network

Ranked among the nation's most integrated healthcare systems, Community Health Network is Central Indiana's leader in providing convenient access to exceptional healthcare services, where and when patients need them—in hospitals, health pavilions, workplaces, schools and homes.

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Physician pre-testing forms

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

Adobe PDFSleep Diagnoses/Tests
Recommended tests for sleep disorder diagnoses

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

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  • Indiana Pacers
  • Sarah Fisher Hartman Racing
  • Indy Eleven
  • Indy Fuel

Health and wellness shopping

  • Wellspring Medical at Home for medical supplies and equipment
  • FigLeaf Boutique
  • Jasmine gift shop
  • Wellspring Pharmacy

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