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Referral form for doctors

We have prepared a convenient Sleep Study Order form, for the use of physicians who are referring patients to Dr. Baker. They can fill out this form and then fax it to us.

  • If you are a physician, or work in a doctor's office, print out the Sleep Study Order form below and fill it out for your referral patients.

  • If you are a patient going to visit your physician, print out the Sleep Study Order form below and bring it on your visit. If your physician feels you need a sleep consultation or sleep study, he or she can fill out the form and fax it to us.

  • If you are a patient who is self-referring (contacting Dr. Baker directly), you can simply make an appointment for a sleep medicine consultation with one of the doctors. You do not need to print out the form below. We have other forms for you to fill out when you visit our office.

Click on the picture below to view the full-size Sleep Study Order in Adobe PDF format. Then use the Print feature on your Adobe Reader window to print it. You can also download the PDF file directly.



For doctor's offices,
we also have handy
pre-printed pads available. E-mail to
Donna Colona and she will bring you some pads, information brochures and other materials.



2006-2021, Bird & Thornton, P.A. All rights reserved.

Solving sleep problems, snoring, sleep apnea, insomnia and other sleeping issues in Central Florida. With five sleep centers at AdventHealth locations: Orlando Main Campus, East Orlando, Altamonte Springs, Apopka, and Partin Settlement.

Appointments: (407) 303-1558 or use our Appointment Form

NOTE: Sleep health information discussed at this website is for educational purposes. Each individual is different and may have varying symptoms, diagnosis and treatments. If you are having sleep health problems, obtain professional medical advice.