Name: Obstructive Sleep Apnoea Referral Letter
SKU: 38840
Price: 24.99 AUD
Availability: InStock
Rating: 4.7 (7759 reviews)

Hi. Thanks for visiting Qoctor in clinic. We need to go through a few questions to make sure you get the highest level of care before receiving your referral letter.This will usually take 2 to 3 minutes.
Special Notes (for doctors only)
So, you’re concerned you may have Obstructive Sleep Apnoea and you’d like to be referred to a sleep specialist?*
- Yes
- No
Do you snore loudly (louder than talking or loud enough to be heard through closed doors)?*
- Yes
- No
Do you often feel tired or sleepy during the daytime?*
- Yes
- No
Has anyone observed you stop breathing during your sleep?*
- Yes
- No
Do you have high blood pressure, or are you on medication for high blood pressure?*
- Yes
- No
Is your BMI (body mass index) more than 35kg/m2?*
Quick BMI calculator to assist
Height
Feet Inch
Weight
KG =
- Yes
- No
Are you aged over 50 years old?*
- Yes
- No
Is your neck circumference ( measurement around your neck) more than 40cm/ 16 inches?*
- Yes
- No
Are you male?*
- Yes
- No
How likely are you to doze off or fall asleep in the following situations, in contrast to feeling just tired?
Use the following scale to choose the most appropriate number for each situation:
0 = would never doze
1 = slight chance of dozing
2 = moderate chance of dozing
3 = high chance of dozing
It is important that you answer each question as best you can.
Sitting and reading*
Watching TV*
As a passenger in a car for an hour without a break*
Sitting, inactive in a public place (e.g. a theatre or a meeting)*
Lying down to rest in the afternoon when circumstances permit*
Sitting and talking to someone*
Sitting quietly after a lunch without alcohol*
In a car, while stopped for a few minutes in the traffic*

It looks like referral to a specialist may be appropriate , subject to review by one of our doctors.
Press continue to select a specialist

Search location: Radius:
Now we need you to enter the contact details of your sleep specialist.
Specialist Name*
Specialist Address*
Specialist Telephone Number
Specialist Fax Number
I would like to see the following specialist*
Specialist Name*
Specialist Address*
Specialist Telephone Number
Now please enter the contact details of your usual GP, so they can receive correspondence from your specialist
GP's Name*
GP's Address*
GP's Telephone Number
Please confirm all the following apply to you*
● I am 18 years old or over.
● This referral is to be used only by me or my child, for whom I have legal responsibility
● I confirm that all correspondence will go to my current GP
● I understand that it may take weeks or months to get an appointment with a specialist ... etc
● I am aware there may be some out of pocket costs and will discuss this with my specialist
● I agree to the terms and conditions of use
- Yes
- No

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