Sleep Study Referral Form

Referrals for a sleep study must be made by a physician. To refer a patient for a sleep study, please complete our referral form. Then fax the completed form along with the most recent history and physical and a copy of the patient’s insurance card to the Sleep Center at St. Louis Children’s Hospital.  We will contact the parents to set an appointment date in the lab.  Once we have a date we will request an insurance authorization from your office. Our fax number is 314.454.4266.

Download the referral form