For Dentists

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Helping Dentists Create Success in Sleep Medicine

Our Dentist to Dentist Partnership Removes the 3 Biggest Obstacles to Success in Sleep Medicine

OBSTACLE #1:

Dentists cannot diagnose sleep apnea and cannot prescribe oral appliances.

OBSTACLE #2:

There is little to no reason for a sleep physician to refer their patients to a dentist.

OBSTACLE #3:

It is very difficult to get insurance companies to pay for oral appliances. Most courses make it seem so simple when it is not.

Introducing:*
Appointment Date:*
MM slash DD slash YYYY
Time:*

: Hours

Minutes

AM/PM
Treatment Requested:*
- Patient requires Sleep Apnea Evaluation/Consult
- Patient requires Follow-up treatment
- Patient has specific need
List any specific need or follow-up treatment:
Please note any concerns:
Has patient completed the Sleep Apnea Screening form?*
- Yes
- No
* If yes, please bring the screening form to your appointment.
Referred by:*
Ph:*
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