DIRECT REFERRAL FOR DIAGNOSTIC SLEEP STUDY The electronic referral on this page is only for use by dentists.We will contact the patient to arrange the study. Need to talk to us? We'd be happy to talk to you - please ring the rooms on 07 3123 5350 or email reception@respirologist.com.au. The cost to the patient for a diagnostic sleep study is $430. This is a home based study. Please be aware that scoring a sleep study is a time consuming process - we aim to provide the report to you within 5 business days following the night of the study. Referral Date* Patient Name* First Last Patient DOB* Patient Gender*Please selectMFIPatient Mobile Tel* Patient Home Tel Clinical notes*Please outline indication for sleep study and any other relevant information and background.Referrer Name* Referrer Provider Number* Referrer Practice Name and Suburb* Referrer Telephone Number* Referrer Signature*Result Delivery Preference*Please selectEncrypted EmailFaxPostAddress for delivery of results Email address for delivery of results Fax number for delivery of results