DIRECTIONS TO OBTAIN COPY OF PATIENT SLEEP STUDY REPORT(S)

Patients may obtain a copy of the patient’s sleep study report(s) according to applicable Texas Laws for Adults’ Medical Record Retention by submitting a written request that contains all of the information listed here below together with the required records service fee in the amount of $45.00 via valid money order or bank cashier’s check made payable to “SleepSomatics”. Patient sleep study report(s) will be mailed after the required information and payment of the records service fee has been received and verified. Once the sleep study report(s) are mailed to the patient designated mailing address, the patient can then retain and provide a copy of their sleep study report(s) for use with the patient’s selected physician(s).

Mail the required information and records service fee to: c/0 SleepSomatics 12407 N MOPAC EXPY #250-342 Austin, TX 78758.

Please write legible using ink (not pencil) to provide the necessary information as listed here just below:

  1. Name of patient requesting sleep study report(s);

  2. Patient’s date of birth;

  3. Patient’s contact email address;

  4. Patient’s contact phone number;

  5. Patient’s mailing address;

  6. Patient’s handwritten signature including the date of this signature.

Note: Requests for sleep study report(s) sent/received without the required information (as listed here just above) and records service fee in the amount of $45.00 via valid money order or bank cashier’s check made payable to “SleepSomatics” will be deemed incomplete and thereby such records request will not be processed or fulfilled. Payment of the required records service free in any payment method other than valid money order or bank cashier’s check will be refused and discarded. In any case a patient request for a patient’s sleep study report(s) does not match the patients full name, date of birth, phone, and email information on-file with SleepSomatics, the requesting patient may be required to furnish a photo identification to authenticate patient identity. Please allow up to 15 business days for a patient request for sleep study report(s) to be authenticated and processed.