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PATIENT REFERRAL

Refer a Patient to our Office
Thank you for referring your patient to The Snoring & Sleep Apnea Center. We’re committed to making referrals easy and to treating your patients with the personalized care they need.

Please download and complete the form on this page to begin the referral process. Please fax forms to (206) 770-0260.
PATIENT REFERRAL (ONLINE)

PATIENT INFORMATION.                                                      

PATIENT INFORMATION                                                       

TREATMENT RECOMMENDATION                                     

PRESCRIPTION                                                                       

DURATION: Lifetime         DIAGNOSIS CODE: G47.3

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