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Images of a sleep study referral form 2025

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The document is a referral sheet for the Sleep Disorders Center at Georgetown University Hospital, designed for physicians to refer patients with suspected sleep disorders. It includes sections for patient information, medical history, physical examination details, suspected diagnoses such as obstructive sleep apnea and narcolepsy, and requested tests like polysomnography. The form requires the referring physician's signature and provides contact information for the hospital.

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What qualifies for a sleep study referral?

The following are indicators for referral to a sleep study: symptoms of excessive sleepiness or an Epworth sleepiness score of =11* recurrent witnessed apnoeas. nocturnal choking, gasping, or dyspnoea

How many hours of sleep are needed for a sleep study?

Polysomnography records your brain waves, the oxygen level in your blood, and your heart rate and breathing during sleep. It also measures eye and leg movements. A sleep study may be done at a sleep disorders unit within a hospital or at a sleep center.

What does a sleep study look like?

The scoring of sleep apneas was standardized by the American Academy of Sleep Medicine (AASM) manual in 2007 [9], defining hypopnea as a decrease of 30% or more in breathing amplitude with a 4% or more drop in oxygen saturation.

What is looked at during a sleep study?

You arrive around 9 oclock at night, meet with a technician, and they hook you up with a whole lot of electrodes on your scalp, chin, chest and legs, and they watch you while you sleep, says Piedmont sleep medicine physician Aris Iatridis, M.D. Most patients are discharged early the next morning.

What to expect during a sleep study?

Experts and healthcare providers generally consider a sleep study valid if you sleep a total of two hours or more (but the more you sleep like normal, the more useful the data gathered). For some people, more than one night in a sleep lab is necessary.

What is the 4% rule in a sleep study?

How to Order a Sleep Study. To schedule a sleep study, you will need a referral from a physician and in some cases an authorization from your health insurance company. Sometimes, sleep lab staff can get approval from your insurance company on your behalf.

Images of a sleep study referral form 2025

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What qualifies for a sleep study referral?

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Images of a sleep study referral form 2025

Here's how it works

How to quickly redact Images of a sleep study referral form online

Complete this form in 5 minutes or less

Got questions?

What qualifies for a sleep study referral?

How many hours of sleep are needed for a sleep study?

What does a sleep study look like?

What is looked at during a sleep study?

What to expect during a sleep study?

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What is the 4% rule in a sleep study?

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