Pediatric and Adolescent Sleep Center

For Referring Providers

The Pediatric and Adolescent Sleep Center provides a fully accredited sleep laboratory and medical examination rooms at our Fairfax location.

The Steps for Patient Referrals to the Pediatric and Adolescent Sleep Center:

• We provide you with an easy-to-use Referral-Order-Form.   If you are ordering a Sleep Study only, please use the PASC Sleep Study Order Form.

• Please complete the Referral/Sleep Study Order form, include the patient’s demographics, patient’s insurance information, a recent progress note if ordering a sleep study, and send by FAX to (855) 208-6428. Please provide the best contact number for your patient.

• Our scheduling team will call the patient/family to schedule a sleep study or sleep consultation with one of our physicians. If you are ordering a sleep study, our scheduling team will obtain preauthorization for the sleep study, if required by the patient’s insurance plan.

• After the sleep study is completed, our sleep medicine physician interprets the study and prepares a report which will include the data and recommendations. The report is sent to you at the office fax number listed on Referral/ Sleep Study Order form.

Thank you for the referral to the Pediatric and Adolescent Sleep Center.