Make a Referral
Thank you for deciding to make a referral to New York Sleep Disorder Center.
Would you like to fill out an Epworth Sleepiness Scale? The Epworth Sleepiness Scale, or ESS, has proven as a screen to determine whether a patient should visit a sleep specialist. Please click here to fill out a ESS scale online.
Please note these forms are secure and HIPPA compliant. If you have any questions or concerns please feel free to contact us.
You may also contact us @ 1(718) 220-4210 to request our “Physician Referral Kit” or fax us a referral from the printable form area to 1 (718) 220-4235.