Q-Metrx, Inc

Preparing for a Sleep Study at Valley Sleep Center
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WELCOME

Your physician has referred you to Valley Sleep Center for a diagnostic sleep study, which may include a trial of Continuous Positive Airway Pressure (CPAP). We will try to make you as comfortable as possible and provide the best quality sleep study available. If you have any questions do not hesitate to ask your doctor or call the Valley Sleep Center at (818) 563-5412. If there is no answer or you have questions about the study (after hours) you can call (818) 568-4749.

Cancellations:
Please be advised that we require you call the office 8 Hours prior to your appointment time if you need to cancel. Patients who "No Show" will be charged a fee of $150. This is payable by you not by your Insurance.

Patient Name:___________________________________

Appointment Date:_______________________________

Time Of Arrival:_________________________________

Valley Sleep Center
1612 West Olive Avenue
Suite #301
Burbank, CA 91506

ARRIVAL

You will sleep overnight at the laboratory. Patients usually arrive after normal business hours, between the hours of 9:00 p.m. and 10:30 p.m. depending on your appointment time. If you need a special time of arrival, please contact us as early as possible, so that arrangements can be made to accommodate your needs.

There is parking available in front of the building on Olive Avenue. The Olive Avenue entrance has wheelchair access. If you are late or if the door is locked and the technician does not meet you at the door, please call the lab by pressing #301 on the intercom system and we will let you into the building. If there is no answer or you have questions about the study (after hours) you can call the clinical coordinator at (818) 568-4749.

Directions

INSTRUCTIONS - ITEMS TO BRING WITH YOU

*For the study electrodes will be applied to the scalp, face, chest and legs. Please follow the instructions below:

*Have your hair washed the day of the study and DO NOT USE ANY CHEMICALS (such as hair spray, mousse, gels, oils, etc).

*Have a good dinner but try to LIMIT COFFEE, ALCOHOL or CAFFEINATED drinks on the day of the study. Also LIMIT LIQUIDS AFTER 6:00pm.

*Bring slippers and a robe as you may have to go outside the lab to go to the bathroom. (The bathroom is adjacent to the Sleep Center). If you wish, you can bring your own pillow.

*Please bring your insurance card and your insurance authorization if applicable. We will have you fill out some paperwork upon your arrival. Bring a list of your current medications.

*Wear loose fitting clothing such as a sweat suit or pajamas for sleeping.

*You may want to bring reading material. A TV with a VCR is available if you wish to bring videotape.

*No food is provided at the lab so if you get hungry or need food to take medication bring a snack.

*You may bring a Cell phone if necessary.

HAVE A GOOD SLEEP!

1612 W. Olive Ave, Suite 301 * Burbank, CA * 91506
Phone: (818) 563-5409 * Fax: (818) 842-2043 * info@q-metrx.com