| Once a patient is referred to the Indiana Sleep Center there are a series of documents in a "sleep packet" that the practice hands out to patients. If a patient has a physician referral you may download our PDF files and fill them out prior to your sleep study. |
| Direct Referral Form (Physicians Only) |
 |
Direct Referral Form for Physicians (Entire 1 Page Document)
Physicians will be given a Direct Referral Form when they are referred for a sleep study or may download the form from the Indiana Sleep Center web site.
Our information is available in a PDF format. If you do not have Acrobat Reader, please click the icon to download.
|
|
| Sleep Packet (Download Entire Packet) |
|
|
Sleep Packet (Entire 19 Page Document)
New patients will be given a Sleep Packet when they are referred for a sleep study or may download the packet from the Indiana Sleep Center web site.
Our information is available in a PDF format. If you do not have Acrobat Reader, please click the icon to download.
|
|
| Scheduling Sheet |
|
|
Scheduling Sheet (1 Page Document)
New patients will be given a sleep study Scheduling Sheet when they are referred for a sleep study or may download the sheet from the Indiana Sleep Center web site.
Our information is available in a PDF format. If you do not have Acrobat Reader, please click the icon to download.
|
|
| Indiana Sleep Center Map |
|
|
Indiana Sleep Center Map (1 Page Document)
New patients will be given a Map in the sleep packet when they are referred for a sleep study or may download the sheet from the Indiana Sleep Center web site.
Our information is available in a PDF format. If you do not have Acrobat Reader, please click the icon to download.
|
|
| Overnight Sleep Study Facts |
|
|
Overnight Sleep Study Facts (2 Page Document)
New patients will be given Sleep Study Facts Sheets in the sleep packet when they are referred for a sleep study or may download the sheets from the Indiana Sleep Center web site.
Our information is available in a PDF format. If you do not have Acrobat Reader, please click the icon to download.
|
|
| Sleep Questionnaire |
|
|
Sleep Questionnaire (12 Page Document)
New patients will be given Sleep Questionnaire in the sleep packet when they are referred for a sleep study or may download the questionnaire from the Indiana Sleep Center web site.
Our information is available in a PDF format. If you do not have Acrobat Reader, please click the icon to download.
|
|
| Sleep Sheet |
|
|
Sleep Sheet (2 Page Document)
New patients will be given a Sleep Sheet in the sleep packet when they are referred for a sleep study or may download the sheets from the Indiana Sleep Center web site.
Our information is available in a PDF format. If you do not have Acrobat Reader, please click the icon to download.
|
|
| Sleep Log |
|
|
Sleep Log (1 Page Document)
New patients will be given a Sleep Log in the sleep packet when they are referred for a sleep study or may download the log from the Indiana Sleep Center web site.
Our information is available in a PDF format. If you do not have Acrobat Reader, please click the icon to download.
|
|
| Epworth Sleepiness Scale |
|
|
Epworth Sleepiness Scale (1 Page Document)
New patients will be given an Epworth Sleepiness Scale in the sleep packet when they are referred for a sleep study or may download the form from the Indiana Sleep Center web site.
Our information is available in a PDF format. If you do not have Acrobat Reader, please click the icon to download.
|
|
| Berlin Questionnaire |
 |
Berline Questionnaire (1 Page Document)
New patients will be given an Berline Questionnaire in the sleep packet when they are referred for a sleep study or may download the form from the Indiana Sleep Center web site.
Our information is available in a PDF format. If you do not have Acrobat Reader, please click the icon to download.
|
|
|
