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Patient Resources

Welcome to your patient resource center at The Sleep & TMJ Group in Seattle. We know that preparing for a healthcare appointment involves paperwork, coordination, and understanding how your medical insurance applies to your care. Our goal is to make this process as smooth and transparent as possible so you can focus entirely on your health, peace of mind, and long-term well-being.

Whether you are preparing for an upcoming visit to discuss custom fit oral appliances for snoring and apnea or looking for guidance on managing chronic jaw discomfort, we have gathered all the essential tools, forms, and administrative information you need right here in one convenient location. We want every step of your journey with us to feel supported, starting from the moment you schedule your first visit.

Patient discussing care with a clinician

Essential Patient Forms and Preparation

To help our clinical team better understand your unique health background, symptoms, and medical history, we provide our registration and health history forms online. Completing these details before your arrival allows our doctors and staff to review your history thoroughly and design a personalized care path tailored to your specific needs.

Please click and download the appropriate forms prior to your appointment so we can streamline your check-in process:

• Orofacial Pain Health History Form: Essential for patients experiencing jaw discomfort, facial tension, headaches, or related musculoskeletal symptoms.

• Sleep Apnea Health History Form: Required for individuals seeking evaluation and management for nighttime breathing disruptions and sleep quality concerns.

• Registration Form: Gathers your general contact information, preferred communication methods, and emergency contacts to keep our records up to date.

• Epworth Bed Partner Survey: Helps quantify daytime sleepiness by evaluating your sleep patterns, often incorporating valuable input from your bed partner.

• Office Map: Provides clear directions, parking tips, and location details for our Seattle office at 2101 4th Ave, Suite 2330.

If you have any questions while filling out these documents, our front desk team is always just a phone call away at (206) 770-0260 to guide you through each section.

Orofacial Pain Health History Form

Download Orofacial Pain Health History (PDF)

Sleep Apnea Health History

Download Sleep Apnea Health History (PDF)

Registration Form

Download Patient Registration Form (Word document)

Financial Policies

Download Financial Policies and Patient Rights and Responsibilities (Word document)

HIPAA Privacy Practices

Download Notice of Privacy Practices (PDF)

Privacy Practices Acknowledgement

Download Acknowledgement of Receipt of Notice of Privacy Practices (Word document)

Additional Resources

 Click on a form name to download the form:

- Office Map

- Epworth Bed Partner Survey 

Contact Information

Phone:

 

(206) 770-0260

Address: 

2101 4th Ave Ste 2330 

Seattle, WA 98121

Navigating Medical Insurance and Financial Policies

One of the most common questions our patients ask revolves around insurance coverage and billing. Many people are genuinely surprised to learn that treatment for medical sleep conditions like obstructive sleep apnea and certain types of chronic jaw joint disorders often falls under medical insurance rather than traditional dental insurance.

Our administrative staff has extensive experience working with various medical insurance providers to verify benefits, secure prior authorizations, and file claims on your behalf. Because coverage details vary widely depending on your specific policy and employer plan, we encourage you to contact our office well before your visit. We can review your insurance breakdown so you have a clear picture of your expected benefits, out-of-pocket costs, and financial responsibilities. Our staff can answer questions about medical insurance coverage for oral appliance therapy.

We also offer secure online payment options to make managing your account simple, transparent, and convenient from the comfort of your home.

Patient Education and Video Resources

We firmly believe that an informed patient is an empowered patient. Understanding how your treatment works and knowing what to expect during your daily routine makes all the difference in your long-term comfort, consistency, and therapeutic success.

To support you every step of the way beyond your initial appointment, we have created a series of educational video resources. These short guides are designed to help you understand how to care for, clean, and adjust your appliances properly. They also offer clear, reassuring answers to common questions about your care plan, daily habits, and adjustment phases. We hope these resources help you feel confident and fully prepared to take an active role in managing your health.

The Sleep & TMJ Group has taken a proactive approach to patient education by creating a series of video resources. These videos are designed to help patients adjust and clean their appliances, as well as provide answers to general questions. We hope you find these videos informative, engaging, and easy-to-understand. The goal of the video resources is to empower patients with the knowledge they need to take an active role in managing their condition. By providing these resources, The Sleep & TMJ Group is demonstrating its commitment to patient education and its belief in the importance of patient empowerment.

Our Commitment to Accessibility and Patient Privacy

Everyone deserves equal access to healthcare information, digital resources, and clinical guidance. Our website is designed to be welcoming and accessible to individuals of all abilities, adhering closely to established digital accessibility standards. We regularly test and refine our online platform using both automated tools and manual reviews to ensure a seamless experience for every visitor.

If you encounter any difficulty navigating our website or utilizing our online forms due to a disability, please reach out to our office directly. We are always happy to assist you over the phone or provide alternative ways to access the information you need. In addition, we maintain strict privacy policies to protect your personal and medical information, ensuring a safe, confidential online and in-office experience.

Contact Our Seattle Office

If you need assistance locating our office, completing your health history forms, or verifying your medical insurance benefits, our caring team is ready to help you navigate every detail.

  • Phone: (206) 770-0260
  • Address: 2101 4th Ave, Suite 2330, Seattle, WA 98121

We look forward to welcoming you to our practice and partnering with you to achieve restful sleep, lasting comfort, and optimal wellness. To take the first step toward personalized care and a restored quality of life, please reach out to our office today to schedule your initial consultation.

ACCESSIBILITY STATEMENT

We are committed to providing a website that is accessible to individuals with disabilities, in conformance with the Web Content Accessibility Guidelines (WCAG) 2.1, Level A & AA.

To this end, we regularly test our website in accordance with best practices, using automated and manual testing and with the assistance of accessibility consultant eSSENTIAL Accessibility which is supported by a diverse team of accessibility professionals including users of assistive technologies. We also make available an assistive CX technology application which our customers who have trouble typing, gesturing, moving a mouse, or reading can use for additional accessibility, however it is not required to use our website. The application is free to download and it incorporates tools such as mouse and keyboard replacements, voice recognition, speech enablement, hands-free/touch-free navigation, and more.


We welcome your feedback. If you encounter any accessibility barriers or otherwise have difficulty using our website due your disability, please contact our office and we will make any necessary changes.

© 2026 All Rights Reserved | The Sleep And TMJ Group

QUESTIONS? WE CAN HELP

PRIVACY STATEMENT

We are committed to protecting your privacy and providing a safe online experience. This Privacy Statement applies to our Practice's website and governs our data collection and usage practices. By using this website, you consent to the data practices described in this Privacy Statement.

Collection of your Personal Information

This Practice collects personally identifiable information provided by you, such as your e-mail address, name, home or work address or telephone number. This Practice also collects anonymous demographic information, which is not unique to you, such as your ZIP code, age, gender, preferences, interests and favorites. There is also information about your computer hardware and software that is automatically collected by this website. This information can include: your IP address, browser type, domain names, access times and referring website addresses. This information is used for the operation of the service, to maintain quality of the service, and to provide general statistics regarding use of this website. Please keep in mind that if you directly disclose personally identifiable information or personally sensitive data through public message boards, this information may be collected and used by others. This Practice encourages you to review the privacy statements of websites you choose to link to from the website so that you can understand how those websites collect, use and share your information. This Practice is not responsible for the privacy statements or other content on any other websites.

Use of your Personal Information


This Practice collects and uses your personal information to operate the website and deliver the services you have requested. This Practice also uses your personally identifiable information to inform you of other products or services available from this Practice and its affiliates. This Practice may also contact you via surveys to conduct research about your opinion of current services or of potential new services that may be offered. This Practice does not sell, rent or lease its customer lists to third parties. This Practice may share data with trusted partners to help us perform statistical analysis, send you email or postal mail, provide customer support, or arrange for deliveries. All such third parties are prohibited from using your personal information except to provide these services and they are required to maintain the confidentiality of your information. This Practice does not use or disclose sensitive personal information, such as race, religion, or political affiliations, without your explicit consent. This Practice will disclose your personal information, without notice, only if required to do so by law.


Use of Cookies


The website uses "cookies" to help this Practice personalize your online experience. A cookie is a text file that is placed on your hard disk by a webpage server. Cookies cannot be used to run programs or deliver viruses to your computer. Cookies are uniquely assigned to you, and can only be read by a web server in the domain that issued the cookie to you.


Security of your Personal Information


This Practice secures your personal information from unauthorized access, use or disclosure. This Practice secures the personally identifiable information you provide on computer servers in a controlled, secure environment, protected from unauthorized access, use or disclosure. When personal information (such as a credit card number) is transmitted to other websites, it is protected through the use of encryption, such as the Secure Socket Layer (SSL) protocol.


Changes to this Statement


This Practice will occasionally update this Privacy Statement to reflect company and customer feedback. We encourage you to periodically review this Privacy Statement to be informed of how this Practice is protecting your information.


Contact Information


Please contact us by phone at 206-770-0260 or by mail at 2101 4th Ave, Ste 2330, Seattle, WA 98121.

ACCESSIBILITY STATEMENT

We are committed to providing a website that is accessible to individuals with disabilities, in conformance with the Web Content Accessibility Guidelines (WCAG) 2.1, Level A & AA.

To this end, we regularly test our website in accordance with best practices, using automated and manual testing and with the assistance of accessibility consultant eSSENTIAL Accessibility which is supported by a diverse team of accessibility professionals including users of assistive technologies. We also make available an assistive CX technology application which our customers who have trouble typing, gesturing, moving a mouse, or reading can use for additional accessibility, however it is not required to use our website. The application is free to download and it incorporates tools such as mouse and keyboard replacements, voice recognition, speech enablement, hands-free/touch-free navigation, and more.


We welcome your feedback. If you encounter any accessibility barriers or otherwise have difficulty using our website due your disability, please contact our office and we will make any necessary changes.

TERMS & CONDITIONS

This Practice website is offered to you conditioned on your acceptance without modification of the terms, conditions, and notices contained herein. Your use of this Practice website constitutes your agreement to all such terms, conditions, and notices.

MODIFICATION OF THESE TERMS OF USE


This Practice reserves the right to change the terms, conditions, and notices under which this Practice website is offered, including but not limited to the charges associated with the use of this Practice website.


LINKS TO THIRD PARTY SITES


This Practice website may contain links to other websites ("Linked Sites"). The Linked Sites are not under the control of this Practice and this Practice is not responsible for the contents of any Linked Site, including without limitation any link contained in a Linked Site, or any changes or updates to a Linked Site. This Practice is not responsible for webcasting or any other form of transmission received from any Linked Site. This Practice is providing these links to you only as a convenience, and the inclusion of any link does not imply endorsement by this Practice of the site or any association with its operators.


NO UNLAWFUL OR PROHIBITED USE


As a condition of your use of this Practice website, you warrant to this Practice that you will not use this Practice website for any purpose that is unlawful or prohibited by these terms, conditions, and notices. You may not use this Practice website in any manner which could damage, disable, overburden, or impair this Practice website or interfere with any other party's use and enjoyment of this Practice website. You may not obtain or attempt to obtain any materials or information through any means not intentionally made available or provided for through this Practice websites.


USE OF COMMUNICATION SERVICES


This Practice website may contain bulletin board services, chat areas, news groups, forums, communities, personal web pages, calendars, and/or other message or communication facilities designed to enable you to communicate with the public at large or with a group (collectively, "Communication Services"), you agree to use the Communication Services only to post, send and receive messages and material that are proper and related to the particular Communication Service.


By way of example, and not as a limitation, you agree that when using a Communication Service, you will not:


  • Defame, abuse, harass, stalk, threaten or otherwise violate the legal rights (such as rights of privacy and publicity) of others.
  • Publish, post, upload, distribute or disseminate any inappropriate, profane, defamatory, infringing, obscene, indecent or unlawful topic, name, material or information.
  • Upload files that contain software or other material protected by intellectual property laws (or by rights of privacy of publicity) unless you own or control the rights thereto or have received all necessary consents.
  • Upload files that contain viruses, corrupted files, or any other similar software or programs that may damage the operation of another's computer.
  • Advertise or offer to sell or buy any goods or services for any business purpose, unless such Communication Service specifically allows such messages.
  • Conduct or forward surveys, contests, pyramid schemes or chain letters.
  • Download any file posted by another user of a Communication Service that you know, or reasonably should know, cannot be legally distributed in such manner.
  • Falsify or delete any author attributions, legal or other proper notices or proprietary designations or labels of the origin or source of software or other material contained in a file that is uploaded.
  • Restrict or inhibit any other user from using and enjoying the Communication Services.
  • Violate any code of conduct or other guidelines which may be applicable for any particular Communication Service.
  • Harvest or otherwise collect information about others, including e-mail addresses, without their consent.
  • Violate any applicable laws or regulations.


This Practice has no obligation to monitor the Communication Services. However, this Practice reserves the right to review materials posted to a Communication Service and to remove any materials in its sole discretion. This Practice reserves the right to terminate your access to any or all of the Communication Services at any time without notice for any reason whatsoever.Materials uploaded to a Communication Service may be subject to posted limitations on usage, reproduction and/or dissemination. You are responsible for adhering to such limitations if you download the materials.


LIABILITY DISCLAIMER


THE INFORMATION, SOFTWARE, PRODUCTS, AND SERVICES INCLUDED IN OR AVAILABLE THROUGH THIS PRACTICE WEBSITE MAY INCLUDE INACCURACIES OR TYPOGRAPHICAL ERRORS. CHANGES ARE PERIODICALLY ADDED TO THE INFORMATION HEREIN. THIS PRACTICE AND/OR ITS SUPPLIERS MAY MAKE IMPROVEMENTS AND/OR CHANGES IN THIS PRACTICE WEBSITE AT ANY TIME. ADVICE RECEIVED VIA THIS PRACTICE WEBSITE SHOULD NOT BE RELIED UPON FOR PERSONAL, MEDICAL, LEGAL OR FINANCIAL DECISIONS AND YOU SHOULD CONSULT AN APPROPRIATE PROFESSIONAL FOR SPECIFIC ADVICE TAILORED TO YOUR SITUATION.THIS PRACTICE AND/OR ITS SUPPLIERS MAKE NO REPRESENTATIONS ABOUT THE SUITABILITY, RELIABILITY, AVAILABILITY, TIMELINESS, AND ACCURACY OF THE INFORMATION, SOFTWARE, PRODUCTS, SERVICES AND RELATED GRAPHICS CONTAINED ON THIS PRACTICE WEBSITE FOR ANY PURPOSE. TO THE MAXIMUM EXTENT PERMITTED BY APPLICABLE LAW, ALL SUCH INFORMATION, SOFTWARE, PRODUCTS, SERVICES AND RELATED GRAPHICS ARE PROVIDED "AS IS" WITHOUT WARRANTY OR CONDITION OF ANY KIND. THIS PRACTICE AND/OR ITS SUPPLIERS HEREBY DISCLAIM ALL WARRANTIES AND CONDITIONS WITH REGARD TO THIS INFORMATION, SOFTWARE, PRODUCTS, SERVICES AND RELATED GRAPHICS, INCLUDING ALL IMPLIED WARRANTIES OR CONDITIONS OF MERCHANTABILITY, FITNESS FOR A PARTICULAR PURPOSE, TITLE AND NON-INFRINGEMENT.TO THE MAXIMUM EXTENT PERMITTED BY APPLICABLE LAW, IN NO EVENT SHALL THIS PRACTICE AND/OR ITS SUPPLIERS BE LIABLE FOR ANY DIRECT, INDIRECT, PUNITIVE, INCIDENTAL, SPECIAL, CONSEQUENTIAL DAMAGES OR ANY DAMAGES WHATSOEVER INCLUDING, WITHOUT LIMITATION, DAMAGES FOR LOSS OF USE, DATA OR PROFITS, ARISING OUT OF OR IN ANY WAY CONNECTED WITH THE USE OR PERFORMANCE OF THIS PRACTICE WEBSITE, WITH THE DELAY OR INABILITY TO USE THIS PRACTICE WEBSITE OR RELATED SERVICES, THE PROVISION OF OR FAILURE TO PROVIDE SERVICES, OR FOR ANY INFORMATION, SOFTWARE, PRODUCTS, SERVICES AND RELATED GRAPHICS OBTAINED THROUGH THIS PRACTICE WEBSITE, OR OTHERWISE ARISING OUT OF THE USE OF THIS PRACTICE WEBSITE, WHETHER BASED ON CONTRACT, TORT, NEGLIGENCE, STRICT LIABILITY OR OTHERWISE, EVEN IF THIS PRACTICE OR ANY OF ITS SUPPLIERS HAS BEEN ADVISED OF THE POSSIBILITY OF DAMAGES. BECAUSE SOME STATES/JURISDICTIONS DO NOT ALLOW THE EXCLUSION OR LIMITATION OF LIABILITY FOR CONSEQUENTIAL OR INCIDENTAL DAMAGES, THE ABOVE LIMITATION MAY NOT APPLY TO YOU. IF YOU ARE DISSATISFIED WITH ANY PORTION OF THIS PRACTICE WEBSITE, OR WITH ANY OF THESE TERMS OF USE, YOUR SOLE AND EXCLUSIVE REMEDY IS TO DISCONTINUE USING THIS PRACTICE WEBSITE.


COPYRIGHT AND TRADEMARK NOTICES


All contents of this website are Copyright © 2023 The Snoring & Sleep Apnea Center. All Rights Reserved. All logos are trademarks and service marks of The Snoring & Sleep Apnea Center. All other trademarks, service marks and logos used in this website are the property of their respective owners.


TRADEMARKS


The names of actual companies and products mentioned herein may be the trademarks of their respective owners.The example companies, organizations, products, people and events depicted herein are fictitious. No association with any real company, organization, product, person, or event is intended or should be inferred.Any rights not expressly granted herein are reserved.


NOTICES



Please contact us by phone at 206-770-0260 or by mail at 2101 4th Ave, Ste 2330, Seattle, WA 98121.