Forms

New Patient Paperwork

Please print & complete all 5 forms.

• Welcome Sheet
• H & P
• Epworth Sleepiness Scale
• Patient Acknowledgement
• Insurance and Payment Policy

Records Release

• Records Release

Sleep Study Forms

• CPCSDC Office Sleep Study

Indigent Forms

• Indigent Letter
• Indigent Form

Notice of Privacy Practices

• Notice of Privacy Practices

Telehealth Consent Notice

• Telehealth Consent Notice