Patient Forms

To help save time during your visit, we have provided a copy of our Patient Registration Forms as well as the Privacy Forms to be completed online on a secure site. Please complete the forms prior to your visit. Once you have fully completed the forms they will automatically return to us. Please attach a copy of all of your insurance cards front and back.

Please bring any referrals from your doctor to your appointment.

If you have had any previous sleep studies please bring a copy of the report or have your doctor send over the medical records.

If you prefer you can come in 20 minutes before your appointment and fill out the registration paperwork in the office. Please provide the front desk with your  insurance cards and any referrals from your doctor.

IMPORTANT NOTICE REGARDING NEW PATIENT REGISTRATION PAPERWORK:

If the patient’s new patient registration paperwork is not submitted and received by the office within 10 days after the new patient consultation appointment, the practice reserves the right to cancel the sleep study and any subsequent appointments. Please ensure timely submission to avoid any disruptions in care.

If you encounter any issues or barriers with respect to the completion of this paperwork, please reach out to the office for assistance: (703) 729-3420

Patient Registration Forms

Registration Packet – Adult English

Pediatric Registration Packet 

Papeleo de Registro  (Spanish)

Notice of Privacy

Patient Bill of Rights

Aviso De Privacidad

Other Forms

Medical Records Release

DME Auto Supply Sign up

 

Thank you for choosing Comprehensive Sleep Centers for your sleep health needs, we look forward to seeing you in one of our ten centers. Rest assured (no pun intended), we are among the Washington DC metro area’s most experienced medical practices for diagnosing and treating the many causes of sleep disorders for both children and adults. Our board-certified sleep medicine physicians have helped  patients plagued by sleep disorders since we opened our sleep health center in 2007.