At Sleep Associates of Connecticut, we understand that our patients lead busy lives. We want to make your experience with us as easy and convenient as possible.
You can save time by downloading, printing, and completing the following forms before our appointment.
Click on the Download PDF button for the form of your choice.
The document will open in a new browser window
Right-click to save the document to your computer, where you may print it.
Patient Forms and Packets
|Download PDF||Patient Instructions for Sleep Study|
|Download PDF||Weekly Sleep Log|
|Download PDF||Patient's Sleep History Questionnaire & ESS|
|Download PDF||Sleep Medicine Referral Form|
|Download PDF||Patient Registration Form|
|Download PDF||Release of Records Request|
|Download PDF||Sleep Study Authorization Release|
Formularios en Español
|Download PDF||Instrucciones del paciente para el estudio del sueño|
|Download PDF||Autorización para el Estudio del Sueño|
Epworth Sleepiness Scale
The Epworth Sleepiness Scale is a general measurement of a person’s perceived level of sleepiness. It is used to estimate whether there is an excessive level of daytime sleepiness in a person’s life.
This scale is normally filled out by all of our patients and can be printed out and completed before coming to our clinic.Download PDF