Patient Forms
To save time, please download and fill out all paper work and bring it with you to your appointment. Forms can download in a whole package or individually. All Forms are in "PDF" format.

Initial Evaluation Package (All Forms)
Terms & Conditions of Service
Confidential Patient Information
Epworth Sleepiness Scale
Sleep Evaluation
More Downloadable Forms:
Getting Started With CPAP (Set-up Instructions)
Two Week Sleep Diary
Hours of Operation

[Dr. Clerk's Office Hours:]
Monday to Friday
Closed for Lunch: 12pm to 1pm
9am to 5pm

[Clinic Hours:]
(For Overnight Sleep Study Only)
Monday to Saturday
8:15pm to 7am

[Contact Info:]

Phone: (408) 295-4532

Fax: (408) 295-4738

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