The first step in diagnosing sleep apnea is the identification of patients within your practice that may be at risk for sleep disorders. A clinically-validated questionnaire provided by Rest Assured Sleep Centers can be filled out quickly during a patient visit. This survey will stratify your patient population into high-risk and low-risk categories for Obstructive Sleep Apnea (OSA). Answering these few brief questions will help you screen for patients who may be candidates for sleep apnea. Through this process you will better understand whether sleep apnea is disturbing your patients sleep and their lives.

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CareFirst (BCBS) Maryland
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The Patient Questionnaire can be completed in the waiting room by patients with sleeping problem when they come for an office visit. This questionnaire can help give information to a clinician during the annual visit, or can be used for case management.
You may download our "Physicians Order Form" below
 
 
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