Provider Forms

As a referring provider to the North Dakota Center for Sleep, you will have the option of referring your patient for a consultation, or the option to direct refer to the sleep center. Choose option C on the order form if you’d like your patient to have a consultation with our board certified sleep physician. This will allow you to have experts in sleep medicine manage your patients sleep disorder, diagnosis through treatment, while you remain the patient’s primary care provider.

By choosing option A on the order form, you will direct refer to the sleep center. This will allow you to have experts in sleep diagnostics perform the sleep study, with the sleep study interpretation (results) faxed to your office for you to contact the patient in follow up and for treatment recommendations. By choosing option A, you will be the primary provider for all sleep disorder concerns and treatment/therapy concerns.

Either way, we keep you informed. If we are unable to contact the patient to schedule their appointment or sleep study, or if the patient declines the appointment or sleep study, your office will be notified.

Thank you for referring your patient to us. We appreciate the confidence you’ve placed in our team.

These forms are provided in PDF format. If you have trouble viewing them, please make sure you have the latest version of Acrobat Reader.

FM Chamber Chamber Virtual Expo American Academy of Sleep Medicine Heartland Healthcare Network National Sleep Foundation Essentia Health