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Provider Referral Intake

Securely submit patient referral documents to West Coast Sleep Clinic

Thank you for referring your patient to West Coast Sleep Clinic. We appreciate your referral and look forward to providing excellent care.

To help us schedule your patient's appointment as quickly as possible, please upload the following:

  • Patient demographics (including contact information and insurance)
  • Provider referral/order
  • Relevant medical records (if available)

Please note: A provider referral is required for patients with HMO insurance plans and may also be required by other insurance plans before an appointment can be scheduled.

Once all required documents have been received, our scheduling team will contact the patient promptly to arrange their appointment.

Thank you for trusting West Coast Sleep Clinic with your patient's care.

Documents Received

Thank you. Your referral documents have been successfully submitted to West Coast Sleep Clinic.

Our scheduling team will contact the patient promptly to arrange their appointment.

Thank you for trusting West Coast Sleep Clinic with your patient's care.

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