Clinic Forms
Click on the Black Tab above (New Patient Paperwork). Once you click on the tab, fill out the paperwork and save as a PDF. In the form box below this message, type your
name and date then upload the new patient paperwork in the file upload box then click the submit tab. You may also print the paperwork off and bring it to the appointment. You may also upload any medical records you may have in the file upload box.
New Patient Paperwork
In-office appointments:
All new patients must come into the office for their first appointment.
If you are a new patient at Well Rested Sleep Specialists, please complete the New Patient Forms prior to your appointment by clicking on the black download button above. Print, fill-out the forms and bring with you the day of the appointment or email to marjorie@wellrestedsleep.org
Completing these forms in advance will facilitate a smoother visit, allowing you to arrive approximately five minutes prior to your scheduled appointment.
If you are unable to print the forms in advance, please plan to arrive 30 to 45 minutes early on the day of your appointment to complete them in the office.
Please bring your completed paperwork, including insurance cards, co-pay, and any sleep disorder treatment devices such as CPAP, BiPAP, iNap, Excite OSA, or oral appliances, including any supplies associated with the devices. This will ensure that your supply order is processed promptly. If you have been diagnosed with a sleep disorder, please bring those results as well.
VIRTUAL FOLLOW- UP INSTRUCTIONS:
Only available to Mississippi and Tennessee residents
To watch the “how to “ video-click on the image above
Virtual appointments:
Someone from the office will call you the morning of the appointment to collect your co-pay before the appointment begins.
If you are using a device such as a CPAP machine that does not have a modem for compliance monitoring, you will need to either visit the office for your appointment or bring the card to our office one day prior to your appointment. Otherwise, we will need to reschedule for a later date.
APPOINTMENT CANCELLATIONS
Please contact the front desk at 901-881-2260 to cancel your appointment at least 24-48 hours in advance. Failure to do so may result in a $50 cancellation or no-show fee.
Still Have Questions?
Reach out and we’d be happy to help you!