WUSM Faculty Referral Forms

The Consultation Request form is for use by all Washington University physicians.

The Direct Sleep Study form is for use by Washington University neurologists, otolaryngologists and pulmonologists.

These patients will not be evaluated or managed at the Sleep Medicine Center. All test results will be faxed to your office after interpretation is complete.

These forms are downloadable for easy printing.

Please fax your completed form to 314-747-3813.