ORDER HST - MDSsleep

Contact us
954-401-7505
info@MDSsleep.com

TO SCHEDULE A HOME SLEEP TEST

Click on the Patient Intake Form

Patient Intake print it, fill it out, sign where indicated, and fax it to us at 877-611-6844. You may also print the

HST Prescription and give this form to your doctor to complete, sign and fax to us. OR Call us at 954-401-7505 and we will assist you in completing the form. We will also complete the prescription and send it to your doctor for signature. If you do not have a doctor, we will assist you in locating a qualified physician near your location

Physician or Patient may Fax either or both forms to 877-611-6844

The Patient will be contacted within 24 hours to schedule the HST

The data will be scored by a registered polysomnographic technician (RPSGT), interpreted by a board certified sleep physician, and a report with diagnosis and recommendations sent to the ordering physician. The entire process usually takes about 7 working days. If CPAP or oral appliance therapy is recommended MDS will, if requested, assist the physician in finding a qualified HME provider or dental specialist and help shepherd the process

DOWNLOAD FORMS

Patient Intake Form Click Here

HST Evaluation and Prescription Click Here To Calculate Body Mass index (BMI) Click Here

*This prescription for the HST may be used as a screening tool to identify patients at risk for obstructive sleep apnea (OSA) and also documentation of medical necessity for the HST. However most payers require a note in the patient’s chart documenting a face to face clinical evaluation for OSA prior to ordering the HST
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Other Prescriptions (May be required depending on results of the HST)

Prescription for CPAP and Supplies Click Here

Prescription for Overnight Oximetry Click Here

Similarly most payers require a note in the patient’s chart documenting a face to face clinical evaluation for discussing the HST results with the patient prior to ordering CPAP or Oral Appliance therapy