Northwest Rest

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  • Services
  • Patients
    • What is OSA?
    • Insurance Plans
    • Self Pay Pricing
    • Forms
    • HST Instructions
    • Privacy Practices Notice
  • Providers
  • Screening for Sleep Apnea
  • Contact us
  • More
    • Home
    • About Us
    • Services
    • Patients
      • What is OSA?
      • Insurance Plans
      • Self Pay Pricing
      • Forms
      • HST Instructions
      • Privacy Practices Notice
    • Providers
    • Screening for Sleep Apnea
    • Contact us

Northwest Rest

Northwest RestNorthwest RestNorthwest Rest
  • Home
  • About Us
  • Services
  • Patients
    • What is OSA?
    • Insurance Plans
    • Self Pay Pricing
    • Forms
    • HST Instructions
    • Privacy Practices Notice
  • Providers
  • Screening for Sleep Apnea
  • Contact us

Provider Referrals

Thank you for referring your patient to NW Rest, where we strive to make the process as seamless as possible for both patients and providers. There are two convenient ways to send the necessary information to our office to get started:


  • Fax: (503) 495-6208


  • Email: referrals@nwrest.com


For faster processing, please send clinical evaluation notes, prior sleep study results, patient demographics, and a copy of the insurance card along with your referral. 


Forms

Referral Instructions (pdf)Download
Sleep Study Order Form (pdf)Download
PAP Therapy Order Form (pdf)Download
Transfer of Care Form (pdf)Download
Epworth Sleepiness Scale (pdf)Download
STOP BANG (pdf)Download

Northwest rest | 365 warner milne rd suite 209 | oregon city, or 97045 

phone: (503) 495-6200 | fax: (503) 495-6208 | email: info@nwrest.com

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