downloads/Sleep Disorders Center Referral Form (201706).pdf

PROVIDER'S QUICK GUIDE
Goshen Sleep Disorders Center

To refer a patient:

(574) 364-2400

2067 Dorchester Ct.
Goshen, IN 46526
Fax: (574) 364-2752
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Goshen Sleep Disorders Clinic

About Goshen Sleep Disorders Center

Goshen Sleep Disorders Center offers patients the most comprehensive resources for the diagnosis and treatment of sleep disorders in the area. There are numerous types of sleep disorders and several potential causes for each. Therefore, patients undergo careful testing in order to arrive at an accurate diagnosis and begin effective treatment. Some sleep disorders can lead to potentially life-threatening conditions, such as high blood pressure, heart failure, heart attack and stroke. Luckily, most sleep disorders are treatable and the Goshen Sleep Disorders Center is committed to seeing patients promptly and offering outstanding care. Because each disorder and each patient is unique, treatment recommendations vary and are tailored to the patient's specific needs.

Goshen Sleep Disorders Center lab is accredited by the American Academy of Sleep Medicine, and is a member of the National Sleep Foundation.

To Refer a Patient

To schedule a patient for a study, call Patient Access (574) 364-2400. Fax the following documentation directly to the Sleep Disorders Center (574) 364-2752: Order/requisition with applicable diagnosis and ICD-10; H&P or office notes of a face-to-face evaluation and discussion supporting the test; pre-authorization documentation (contact information, approval/denial decision, authorization number or other code, or affirmation it isn’t required; copy of insurance/benefits card; and any other information not in the H&P/office notes that will help us provide a safe and comfortable experience for the patient.) The order and clinical information will be reviewed according to guidelines of the American Academy of Sleep Medicine.

To schedule your patient for consultation with a physician board certified in sleep medicine, call our medical director’s private practice directly (Yatin J. Patel, MD; phone (574) 534-9911).

Common Sleep Disorders

• Insomnia
• Sleep apnea
• Narcolepsy

Possible Symptoms of an Underlying Sleep Disorder

• Snoring
• Daytime sleepiness
• Fatigue
• Lack of energy
• Sleepwalking
• Night terrors and nightmares
• Bedwetting
• Headaches
• Nocturnal seizure
• Sexual dysfunction

Potential Treatment Options

• Non-surgical airway pressure
• Changes in sleep habits, schedules and conditions
• Dental devices
• Exercise programs
• Medications
• Modification of consumption habits
• Stress management
• Weight loss programs
• Surgical restructuring of the airway