REFERRAL FORM
Physicians and other healthcare professionals may request customized referral forms from us in this section.
Dear Physician,

You can download a blank PDF referral by clicking:   Bay Sleep Clinic Referral Form PDF

Also, for your convenience, we can send you a customized referral form with your name and other information already filled in. Please provide the information below and we will email (PDF file) or fax you a form within 24 hours.
You can also visit the MD Portal to submit referrals on-line: If quicker service is required, please feel free to call us at 1-866-88-SNORE and request a customized referral form.
Sleep Questionnaire
Do you snore or wake up tired?
Do you have high blood pressure?
Do you have a weight problem?
Are you depressed?
Are you forgetful?