Forms

New patients should complete and submit these forms to our office for review. Once reviewed, a member of our team will reach out to you to schedule. Please note: our office requires a referral from your doctor to start the scheduling process. Packets will not be processed if there is not a valid referral in place.

New Patient File Upload Instructions

  1. Select packet that applies to you (CPAP or non-CPAP user)
  2. Download the fillable form to your computers Desktop
  3. Fill out and save the document
  4. Select "Choose file" and select your completed packet from your Desktop
  5. Click "Submit"
We will give you a call to schedule a consultation appointment once we have received and processed your completed packet.
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Upload your forms below:

Emerald Sleep

330 South Garden Way
Suite 390 Eugene, OR 97401
officestaff@emeraldsleep.com