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Interior Health Polysomnogram Requisition
This current version of this eFORM is not fax-enabled. It has links to Stop-Bang and Epworth Sleepiness Scale (ESS) eFORMS, which you may need to also acquire. Or you can use the built-in Epworth Scale.
This eFORM requires the ESS measurement:
If unsure how to create this measurement, ask your OSP for assistance.