Thank you for entrusting your patients' care to Daniel T. Garber, MD and the staff here at Carolinas Sleep Specialists. We are always looking for ways to improve our service to our referring providers and welcome your suggestions on how we can improve our service to you and your patients.
We recognize all of our referring providers and value our relationship with each of you. We also recognize that your patients look to you as their primary provider and we expect to entrust your patient back to your ongoing care after being seen at CSS as well as keep you informed throughout the process.
If this is your first time referring a patient to Carolinas Sleep Specialists, this is the information we must have about your patient in order to schedule them for an appointment:
- Sleep Study Evaluation Request Form (below)
We also need to know:
- Patient Name
- Patient's Current Address
- Patient's Current Phone number
- Patient's Date of birth
- Patient's Current Insurance Information
- Your referring physician National Provider Identifier (NPI) number
- Services you would like CSS to provide
For information please contact us directly.
All current referring providers, please send a copy of the patient's insurance card, demographics and the last clinical note along with Sleep Study Evaluation Request Form (below).
Download Forms Here:
For all other forms please refer patient to our website to ensure the most up to date forms we have.