Phone: (760) 779-1444 or Toll Free: (888) 806-3535 [email protected]

Downloadable Forms

Click the buttons below to access forms for your visit or your patient’s visit

Order Form - Sleep Test (pdf)

Questionnaire - Epworth (pdf)

Physician Rx - Letter of Medical Necessity (pdf)

Order Form - CPAP/BiPAP/APAP DME (pdf)

Questionnaire - Medical History (pdf)

Patient Information - Insurance Form

Locations

72855 Fred Waring Dr # C19,
Palm Desert, CA 92260

22330 Hawthorne Blvd., Ste 214
Torrance, CA 90505

5199 E. Pacific Coast Highway
Ste 304N (North Tower)
Long Beach, CA 90804

350 E. Commercial Rd., Ste 106
San Bernardino, CA 92408

Phone

(760) 779-1444
(888) 806-3535

Fax

(888) 816-5060