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Sleep Self-Referral Process
Self-Referral Process
Our INI Sleep Center allows patients to self refer into our program without a primary care physician sending referral orders. An advanced practice nurse together with one of our physicians will conduct a consultation at your first appointment to determine if sleep testing is needed.
All insurance plans set up payment and referral policies differently. It is important that you determine what is required by your insurance carrier to guarantee coverage. Our staff would be happy to talk with you further about the self-referral process.
Patient Request Forms
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New Patient Request (Adult/English) | |
New Patient Request (Adult/Spanish) |
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New Patient Request (Child/English) | |
New Patient Request (Child/Spanish) |
Physician Request Forms
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Physician Sleep Referral Form - Adult | |
Physician Sleep Referral Form - Infant/Child |
Please contact us:
Office Phone: 309-624-9960
Office Hours: 8am - 5pm
Conditions We Treat
