Thank you for deciding to make a referral to the New York Sleep Disorder Center.

Not sure if you need to refer a patient?

Fill out an Epworth Sleepiness Scale, or ESS, has proven as a screen to determine whether a patient should visit a sleep specialist. Please click here to download a PDF ESS Evaluation Scale.

You have a few options to submit your referral:

Fax it!

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.

Submit it now via this form below:

Please note these forms are secure and HIPPA compliant.

If you have any questions or concerns please feel free to contact us.