Clinician Referral Form

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--Select--TPASelf

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Reason for referral to India Sleep

Multi-Disciplinary Team review of complex casesSleep Physician assessment of OSA, PLMS, narcolepsy, parasomniasSleep Surgeon assessment of structural abnormalitiesSleep Coaching for schedule optimisation and supportPsychotherapy for depression, anxiety, stress etc.Physiotherapy for bruxism, myofacial pain, TMJ issues, chronic pain etc.Behavioural Therapy for InsomniaCOMISA (co-morbid insomnia and sleep apnea)Custom-made mandibular advancement devices for snoring or OSAHome-based screening sleep studiesHome-based comprehensive sleep studiesIn-lab comprehensive sleep studiesCPAP trialsPositional Sleep Therapy trials

Additional information

Priority

--Select--P1 one weekP2 two weeksP3 4-6 weeksP4 can wait