Sleep Study, Sleep Clinic | Valley Sleep Center | Arizona
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FORMS

Click the links below to download and save the forms in order to fill out and submit electronically. You can also print and fill them out as requested and bring with you to your in office appointment.

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New Patient Forms

  • Adult New Patient Paperwork
  • Pediatric New Patient Paperwork (0-5 years)
  • Youth New Patient Paperwork (6 – 17 years)

Existing Patient Forms

  • Adult Patient Followup Form
  • Pediatric & Youth Patient Follow up Form (17 years and under)

Insomnia Patient Forms

  • New Insomnia Patient Forms
  • Insomnia Follow up Form

Spanish Forms

  • Spanish Adult Follow up Form
  • Spanish Pediatric & Youth Follow up Form
  • Spanish Adult New Patient Paperwork
  • Spanish Pediatric New Patient Paperwork (0 – 5 years)
  • Spanish Youth New Patient Paperwork (6 – 17 years)

Other Forms

  • Sleep Diary (MSLT)
  • Medical Records Release Form
  • Privacy Notice (English)
  • Privacy Notice (Spanish)
  • Notice of Privacy Practices/HIPAA Notification
  • Patient Rights, Consent, & Advanced Directive

REQUEST A CONSULTATION

For most insurance plans, you do not need a primary care referral to meet with our board certified sleep physicians.

Book An Appointment

Corporate Office

Phone: (480) 830-3900
Fax: (480) 830-3901

Mailing Address
P.O. Box 30388
Mesa, Arizona 85275-0388

sleep@valleysleepcenter.com

Request A Consultation >

Consultation appointments are scheduled based on physician’s schedule and availability.

Resources

  • Good Sleep, Good Luck?
  • Fall in Love with Your Sleep
  • New Year, New Dreams: Make Sleep Your Priority in 2026
  • Travel Smart This December: How to Maintain a Healthy Sleep Schedule During the Holidays ✈️💤
  • QUOTABLES: Excessive Bed Rotting Disrupts Sleep Hygiene
  • QUOTABLES: Mastering Sleep Hygiene: Essential Tips for Optimal Health
  • QUOTABLES: Time to Replace Your Mattress?
  • QUOTABLES: Unusual Signs You Need More Sleep

Quick Links

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  • Inspire Therapy – Important Safety Information
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