Oshawa Durham Sleep Laboratory
Monday - Friday
9:00 AM - 04:30 PM

Oshawa Durham Sleep Lab

292 King Street West, Unit 101, Oshawa, ON L1J 2J9

(905) 436-6163(905) 432-7099oshawadurhamsleep.com

Sleep Study Requisition

Complete the form below to request sleep study services or print the form.

This requisition form can be taken to any licensed facility providing health care services including hospitals accepting community referrals and community surgical and diagnostic centres, such as those listed on the website:Community surgical and diagnostic centres | ontario.ca

Section 1: Patient Information

Please provide the patient's basic information

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