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Sleep Disorders Screening Form Request & Contact Form

Get The Free Sleep Disorders Screening Form

Enter your email address to receive the screening form and updates.

Your personal information will never be disclosed.

Thank you!

You can download the screening form here https://drive.google.com/file/d/1CoijXeZEU_ptPcnofg-9jGveCMbxzxnw/view?usp=sharing After filling out the form, take it to your primary healthcare provider for evaluation to see if you need a sleep study. Please note, this form does not mean you do not need a sleep study if the scores do not meet the abnormal criteria shown on the form. It is important that your primary care provider or sleep specialist make that determination. Thanks.

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The Food and Drug Administration has not evaluated the statements on this website regarding the use of our products.  These products are not intended to diagnose, treat, cure, or prevent any disease. All treatment information is designed for educational purposes and may not be complete. You should not use this information to self-diagnose; you should seek a professional healthcare provider to diagnose and treat your condition.

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