For Healthcare Providers

Partner With Us for Patient Care

We provide oral appliance therapy in collaboration with sleep physicians. Refer your patients who are CPAP-intolerant or candidates for oral appliance therapy.

Refer a Patient (503) 555-0123

Why Refer to Aloha Sleep Apnea & Airway Center?

We're committed to collaborative care and keeping you informed throughout your patient's treatment journey.

Regular Progress Reports

Receive updates on patient progress, device titration, and treatment outcomes.

Efficacy Verification

We coordinate follow-up sleep testing with you to confirm treatment effectiveness.

HIPAA Compliant

Secure referral processes and protected health information handling.

Quick Turnaround

Timely patient appointments and efficient treatment initiation.

FDA-Cleared Devices

Custom-fitted mandibular advancement devices from leading manufacturers.

Patient-Centered Care

Thorough education and ongoing support for treatment compliance.

Ideal Candidates for Oral Appliance Therapy

Primary Indications

Mild to moderate obstructive sleep apnea
CPAP intolerance or non-compliance
Patient preference for oral appliance
Primary snoring

Also Consider For

Combination therapy (CPAP + OAT)
Travel/backup device for CPAP users
Upper airway resistance syndrome
Positional sleep apnea

Referral Process

Submit Referral

Use our form below or secure fax for PHI

Patient Contact

We reach out within 1-2 business days

Evaluation & Treatment

Custom device fabrication and fitting

Follow-Up Reports

Progress updates and efficacy results

Provider Referral Form

Refer your patients for oral appliance therapy evaluation

HIPAA Compliance Notice

For referrals containing protected health information (PHI), please use our secure fax line at (503) 555-0124 or our secure portal. This web form is for basic referral information only.

Referring Provider Information

Provider Name *

Specialty

Practice Name *

Phone *

Email *

Patient Information (Non-PHI)

Only provide basic contact information. Do not include diagnosis or health details.

Patient First Name *

Patient Last Name *

Patient Phone *

Patient Email

Reason for Referral *

Notes (Non-PHI only)

Urgent referral - please contact patient within 24 hours

For PHI referrals, fax to (503) 555-0124 or use our secure portal.

Provider Hotline

(503) 555-0123

Secure Fax (PHI)

(503) 555-0124

Provider Email

referrals@alohasleepapnea.com

Questions About Referring Patients?

Our team is happy to discuss cases and answer questions about oral appliance therapy candidacy.

No obligation. We'll discuss your sleep concerns and explain your options.