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   √ New Patient Forms

 

Again, welcome to the Sleep Health Center, ("SHC")!

Our New Patient Forms that will download after you click on each of the Forms buttons below are in a "fillable" .PDF file that cannot be submitted electronically from this Web site.

Instead, you must print out the appropriate forms and bring them with you on your next visit to either the doctor's office or the Sleep Health Center, but please continue reading this page.

NOTE: After you click on and try to type into the first fillable data entry field, there will be a delay of 30 seconds until Adobe Reader displays a message box - close the message box and you can proceed to enter data.

 

* Note that below there are two different sets of forms you can download:

  • Doctor Visit New Patient Forms (19 pages) - for your first visit to the doctor's office.

  • SHC Sleep Session Forms (5 pages) - for if your doctor prescribes a sleep session at the Sleep Health Center. Until a sleep session is prescribed for you, you don't need to print these forms unless you want to learn about the in-depth questions that we use to help diagnose and treat sleeping disorders.

 

Our new "fillable" forms provide you the convenience of using your computer to type necessary information directly into these forms before you print them out to bring them to our office for your first visit. This saves time for both you and our office staff, and offers far higher accuracy in capturing your information correctly.

 

 

After you have downloaded the forms and are viewing the forms on your computer monitor,        if data entry fields where you can type necessary information are not highlighted, there may be a small check box in the upper right hand corner of the form's window with the words Highlight fields that you can click to cause the data entry fields to become highlighted.

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Because this is a .PDF file, you will need to have the FREE Adobe Reader installed on your computer.

 

*If you don't have the FREE Adobe Acrobat Reader installed,

first CLICK the Get Adobe Reader® stamp below:

    

    

 

With Adobe Reader installed, you're now ready, so click a button below to begin downloading!

Doctor Visit New Patient Forms - for your first visit to the doctor's office - 19 pages

 

         

SHC Sleep Session Forms - for a doctor-prescribed sleep session at the SHC - 5 pages

 

 

Respiratory Specialists and Sleep Health Center

The sole practice in Berks County with five Board Certified Sleep Physicians™

2608 Keiser Blvd. · Wyomissing, PA 19610

 (610) 685-LUNG (5864)

The Practice of Respiratory Specialists is Limited to Pulmonary Medicine, Sleep Medicine, and Critical Care Medicine,

 with Active Staff Privileges at St. Joseph Medical Center and The Reading Hospital and Medical Center, and

Consulting Staff Privileges at HealthSouth Reading Rehabilitation Hospital

         © Copyright 2006-2012 Respiratory Specialists. All rights reserved.

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