Thank you for your continued trust and referrals to our office for oral appliance therapy (OAT) treatment of obstructive sleep apnea (OSA). To help streamline the referral process, please provide the following information when referring a patient:
Required Documentation
A signed prescription including:
-
Diagnosis of Obstructive Sleep Apnea (ICD-10: G47.33)
-
Patient’s full name and date of birth
-
Patient contact information
-
Indication for oral appliance therapy (E0486)
If applicable, please indicate that the patient:
-
Is CPAP intolerant, OR
-
Has contraindications for CPAP therapy
Physician signature and date are required on all prescriptions.
Please include:
-
A copy of the diagnostic sleep study
-
Relevant chart notes prior to the sleep study
-
Insurance and demographic information
-
Best contact phone number for the patient
Please fax or email all records to: 215-583-2790 or office@tri-statesnoreandsleep.com
Patient Scheduling
Once we receive the referral documentation, our team will contact the patient to schedule a consultation. We strive to schedule referred patients promptly and provide comprehensive care throughout treatment.
Follow-Up Care
After the oral appliance is fabricated and delivered, our office will monitor the patient’s progress and make any necessary adjustments during the adaptation period. Once treatment goals have been achieved, the patient will be referred back to your office for follow-up care and, if indicated, a post-treatment sleep study.
Get in Touch Today
Thank you again for your referrals and collaboration in caring for patients with sleep-disordered breathing. Please feel free to contact our office with any questions.
