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Refer Yourself / Refer A Patient

TO REFER YOURSELF: 

We do not require a doctor-to-doctor referral, unless your insurance plan requires it. If you suspect you have a sleep disorder and would like to self-refer, please either call the office directly, complete our secure online referral form, or complete our printable form and return by fax (817-394-6282).

TO REFER A PATIENT:

If you are a doctor’s office, please refer patients to us by one of the following methods:

♦ Complete our printable form and return by fax,
♦ Complete our secure online referral form,
♦ Send referrals via Direct Message from your Electronic Health Record system.

–OR–

♦ Send information:

  • Reason for referral
  • Patient contact information/demographics
  • Patient insurance information (primary and secondary)
  • Referring physician contact information, including NPI number
  • Any prior sleep-related or other pertinent medical records

Fax to the attention of “Sleep Referral” at (817) 394-6282, or mail to Sleep Referral, 2941 Oak Park Circle, Suite 200, Fort Worth, TX 76109.

Do you have a child with sleep problems? – We helped Cook Children’s Medical Center begin to provide pediatric sleep medical services in 2007. They are now independent and AASM-accredited. Please refer children with suspected sleep problems to Cook Children’s Medical Center. We will see older adolescent patients (age 16 +) at our Cooper Street office at parental request.