How do I refer a patient to SleepEz?

You can refer patients through four methods: online referral form via our HIPAA-compliant portal, direct EHR integration, downloadable PDF/Word forms for fax/email, or by calling our provider hotline at (973) 726-7533 for immediate assistance.

What happens after I submit a patient referral?

You'll receive immediate confirmation with a tracking number. Our team contacts your patient within 1 business day to schedule their consultation. After evaluation and testing, you'll receive detailed reports on consultation, testing results, and treatment plans.

Can I get same-day scheduling for urgent referrals?

Yes, for urgent care needs, call our provider hotline at (973) 726-7533 for same-day scheduling. Our expedited referral process ensures your patients receive timely care for urgent sleep medicine needs.

What sleep disorders can I refer patients for?

You can refer patients for suspected OSA, insomnia, narcolepsy, restless leg syndrome, PAP therapy management, and other sleep disorders. Services include sleep consultations, home sleep tests, in-lab polysomnography, PAP therapy, and remote monitoring.

Do you integrate with EHR systems for referrals?

Yes, we offer seamless EHR integration options that allow you to refer patients directly from your electronic health record system, maintaining workflow efficiency and proper documentation.

What referral resources do you provide?

We provide evidence-based clinical guidelines for sleep disorder screening, validated screening tools including ESS, STOP-BANG, and ISI questionnaires, and comprehensive referral support materials for your practice.

Refer Sleep Apnea Patients | Online Referral Form & EHR Integration

Multiple Ways to Refer

Choose the referral method that works best for your practice

Downloadable Forms

Download our referral forms in your preferred format, complete, and return via fax or email.

PDF Word

Online Referral

Submit patient referrals quickly and securely through our HIPAA-compliant online portal.

Submit Online

EHR Integration

Refer patients directly from your EHR system with our seamless integration options.

Learn More

Phone Referral

Call our dedicated provider line for immediate assistance with patient referrals.

833 29S-LEEP

Online Referral Form

Submit a secure electronic referral in minutes

Referring Provider Information

Provider Name *

NPI Number *

Specialty

Practice Name *

Phone *

Email

Patient Information

Patient Name *

Date of Birth *

Gender

Phone *

Email

Insurance

I confirm that I have obtained patient consent for this referral and sharing of their information *

Fields marked with * are required

What to Expect After Referral

Our streamlined process ensures your patients receive timely, high-quality care

1

Confirmation

You'll receive immediate confirmation of your referral submission with a tracking number.

2

Patient Contact

Our team will contact your patient within 1 business day to schedule their initial consultation.

3

Evaluation & Testing

Patients undergo appropriate evaluation and testing based on their specific needs.

4

Provider Updates

You'll receive detailed reports after consultation, testing, and treatment initiation.

Expedited Referrals

Need urgent care for your patient? Call our provider hotline at 833 29S-LEEP for same-day scheduling.

Referral Resources

Helpful materials for your practice

Clinical Guidelines

Evidence-based guidelines for sleep disorder screening and referral in primary care.

Download PDF

Screening Tools

Validated screening questionnaires including ESS, STOP-BANG, and ISI for use in your practice.

Download Tools

What Providers Say

Hear from healthcare providers who refer to SleepEz

Dr. Jeffrey A. Miller, DO

Specializes in Pulmonology

"SleepEz has transformed how I manage patients with sleep concerns. The referral process is seamless, and my patients consistently report positive experiences. The detailed reports I receive help me provide better continuity of care."

Dr. Asker E Asmi, MD

Specialties in Sleep Medicine

"As a pulmonologist and sleep medicine specialist, I value SleepEz’s comprehensive approach to managing sleep disorders. Their remote monitoring helps me track progress and make timely adjustments. The seamless referral process and detailed reports make collaboration effortless.."

Questions About Referrals?

Our provider relations team is here to help

Provider Hotline: 833 29S-LEEP
Email: intake@sleepezcare.com

Refer a Patient