Sleep Disorder Consultation (Form B) Referral Request

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  • Create Date November 30, 2021
  • Last Updated November 8, 2023

Sleep Disorder Consultation (Form B) Referral Request

Requisition for Sleep Disorder Consult (Form B) Referral Form

This eFORM was originally paired with the HSAT (home sleep apnea testing) eFORMS which essentially removed all the advertising from the various respiratory support companies and genericized their referral forms.  If your patient does not qualify for HSAT, then you are to refer for formal sleep consultation or polysomnogram (PSG), using Form B.   Some sites have their own specific PSG forms.  The attached are ones using the College's approved format.

The format is similar to the HSAT forms.

Specific Form B versions also available:

North Vancouver Sleep Disorders

Surrey Sleep Clinic

Attached Files

FileAction
Form_B_Requisition_for_Sleep_Disorder_ConsultV4_Generic.zipDownload
North_Vancouver_Sleep_Disorders_FormB_V1_Aug25_2023.zipDownload
Surrey_Sleep_Clinic_PSG_V1_Nov29_2021.zipDownload