At the Indiana Sleep Center all aspects of your care are administered through the combined efforts of our highly trained and credentialed technologist and physician staff. Our physician staff is also available to you and your physician for even more in depth consultation regarding your sleep health. If your physician believes you may have a sleep problem, they may either choose to arrange a sleep medicine consultation with one of our physicians or refer you to the Indiana Sleep Center for diagnostic evaluation. For further evaluation contact your health care provider or the Center for Respiratory & Sleep Medicine (CRSM) at 317-885-2334.
Physicians When referring a new patient, please download and complete the New Patient Packet below. New Patient Packet – download pdf New Patients 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 you have a physician referral you may download our PDF files and fill them out prior to your sleep study. New patient sleep packet documents include a sleep study Scheduling Sheet, Patient Sleep Questionnaire, Sleep Log, Epworth Sleepiness Scale, Berlin Questionnaire and STOP-BANG Questionnaire, all of which may be downloaded below.
Our forms are provided in PDF format. If you do not have Acrobat Reader, please go to get.adobe.com/reader to download it.
Scheduling Sheet – download pdf
New Patient Sleep Questionnaire– download pdf
Sleep Log – download pdf
Epworth Sleepiness Scale – download pdf
Berlin Questionnaire – download pdf
STOP-BANG Questionnaire – download pdf
Most insurance plans cover sleep testing, as long as it is medically necessary and ordered by a physician. The Indiana Sleep Center accepts most major medical insurance. However, every insurance policy differs from the next, therefore we encourage patients to review their individual policies and determine if their personal plans provide coverage for outpatient sleep testing procedures.
The Indiana Sleep Center takes pride in giving our patients up to date news and information by utilizing online resources and publications. Patients viewing these links may find support groups and more information on their particular condition. Please visit our Resources page to find more extensive information about sleep disorders, treatments, and the current statistics in the sleep care profession. >>
This notice describes how medical information about you may be used and disclosed and how you can get access to this information. Please click here to review our Privacy Notice. If you have any questions about this notice, please contact Franciscan St. Francis Health at 855-459-7573.