At OSA, we realize our patients lead busy lives. We're here to make your experience with us as easy and convenient as possible. The following forms may be downloaded and printed to save time filling them out at our office before your appointment.
Patient Forms and Packets
**Great news! Our new patient packet is now digital! Please call our office at 503-288-5201 for access to the form.**
Pediatric New Patient Packet - For parents of pediatric patients, please print this form and fill it out before the initial consultation with your provider.
Two Week Sleep Diary - For patients to print and track sleep habits two weeks prior to an MSLT sleep study.
Other Sleep Related Forms
The Berlin Sleep Questionnaire is a proven screening tool used by health professionals to determine the likelihood that a person may have sleep apnea. It utilizes three main categories of simple questions to access whether an individual is at risk for sleep-disordered breathing. You may print and complete the questionnaire if you suspect you may have a sleep disorder. The directions are provided with the form and Oregon Sleep Associates can help you interpret the results.
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 here for use when coming to our clinic.
FOR PHYSICIANS
Physician Referral Form - For physicians who would like to refer their patient for a sleep study.
Medical Records Release Form - For a physician’s office requesting medical records.