Patient Referral Forms
For your convenience and ease of patient referral, we have provided fillable and printable referral forms here in Adobe Acrobat PDF format. The Adobe Acrobat Reader is FREE and can be downloaded at adobe.com.
Referral forms are for Level III Home Sleep Studies with medical interpretation and/or Sleep Therapy Consultation from Physicians, Naturopathic Physicians, Nurse Practitioners, Dentists, CPAP Providers, Physio/Occupational and Chiropractic Therapists and other Auxiliary Health Care Providers. Prescription forms for Oral Appliance Therapy are also provided below if needed. If you have a patient to refer and are unclear please feel free to use the main referral for appliance therapy form or call/email us with your questions.
PATIENTS can self refer without a referral form by contacting us or scheduling online.
Please complete and print these forms for any patient you wish to refer and fax to (604) 987-5336 or email to info@sleepbetterlivebetter.ca. for NORTH VANCOUVER office or (604) 587-5336 or email infosurrey@sleepbetterlivebetter.ca for SURREY office
- Fillable Referral for Consult, L3 and therapy from MD, NP, ND
pdf, 188.93 KB - Referral for Consult, L3 and therapy from MD, NP, ND
pdf, 161.37 KB - Fillable Referral for Sleep Study or Consultation From Dentist
pdf, 177.52 KB - Referral for Sleep Study or Consultation from Dentist
pdf, 238.98 KB - Fillable Referral for Consult from CPAP Provider
pdf, 179.04 KB - Referral for Consult From CPAP Provider
pdf, 160.62 KB - Fillable Referral for Consult or Home Sleep Study Auxiliary Health Care Provider
pdf, 175.30 KB - Referral for Consult or Home Sleep Study Auxiliary Health Care Provider
pdf, 158.31 KB - Fillable Referral for TMJ or TMD
pdf, 171.11 KB - Referral for TMJ or TMD
pdf, 158.99 KB