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Canberra Sleep Clinic > Appointments > Patient Forms

Patient Forms

patient forms

You will need Adobe Reader or a compatible web browser to view and print the following documents

  • New Patient Information Form
  • Basic History Questions For Patients Who May Have Snoring And/Or Sleep Apnea
  • The Epworth Sleepiness Scale for Adults
  • Iowa Paediatric Daytime Sleepiness Scale (age 5-17)

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Canberra’s own Sleep Medicine Specialists

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    Equinox Business Park
    Ground Floor, Building 2
    70 Kent Street, Deakin ACT 2600

    Phone: (02) 6282 4955
    Fax: (02) 6285 1608
    Web canberrasleepclinic.com.au

    • About Us
      • Find Us
      • Our Team
      • Sleep Physicians
    • Appointment & Consultation
    • Appointments
      • Patient Forms
    • Behavioural Changes
    • Contact Us
    • Do I have Sleep Apnea?
    • Facebook
    • FAQ’s
    • Feedback
    • For Referrers
    • GP Referral Form
    • Home
    • Our Location
    • Patient Info
      • Conditions We Treat
        • Circadian Disorders
        • CPAP
        • Hypersomnolence
        • Insomnia
        • Jet Lag
        • Narcolepsy
        • Paediatric Sleep
        • Parasomnias
        • Sleep Apnea
        • Snoring & Upper Airway Obstruction
      • Covid 19 Patient Information
      • FOR PATIENTS
      • Treatment Options
    • Privacy and Confidentiality
    • Services
    • Why Do I Need A Referral
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