Feeling Great Sleep Center Patient Forms
Feeling Great Sleep Center Sleep Disorder Patient Forms
This section of our website contains patient forms (ones that you'll bring with you to your scheduled appointment with one of our board-certified sleep physicians), screening tools, and sleep disorder questionnaires.
Follow these simple directions to access patient forms.
1. Review the list of forms below and their descriptions (highlighted in yellow). Click on the link for the form that is most appropriate for your situation.
2. Print out your form and fill in the information requested.
3. Bring the completed form with you to your appointment.
Our sleep disorder questionnaires and screening tools - Epworth Sleepiness Scale, Berlin Questionnaire and Body Mass Index, Sleep Apnea Risk Calculator, and Feeling Great Sleep Center's Sleep Apnea Screening Tool - can also be accessed by clicking on the links provided at the bottom of this page.
Patient Forms Available to Download and Print
#1: New Patient - Seeing Sleep Specialist - Patient is NOT on CPAP / BiPAP Therapy [Adobe Acrobat PDF - 157.16 KB].
Complete this form only if you are not on CPAP or BiPAP therapy and are being seen by one of our sleep physician - for the first time.
#2: New Patient - Seeing Sleep Specialist - Patient IS on CPAP / BiPAP Therapy [Adobe Acrobat PDF - 154.44 KB].
Complete this form if you are currently on CPAP or BiPAP therapy and are being seen by our physician (e.g. Dr. DellaBadia) for the first time.- #3: Follow-Up Patient - Seeing Sleep Specialist - Patient is NOT on CPAP / BiPAP Therapy [Adobe Acrobat PDF - 146.67 KB].
Complete this form if you are scheduled for a follow-up appointment with one of our sleep specialist physicians and you are NOT currently on CPAP or BiPAP therapy. - #4: Follow-Up Patient - Seeing Sleep Specialist - Patient IS on CPAP / BiPAP Therapy [Adobe Acrobat PDF - 147.69 KB].
Complete this form if you are scheduled for a follow-up appointment with one of our sleep specialist physicians and you are currently on CPAP or BiPAP therapy. - #5: PSG Bedtime Questionnaire [Adobe Acrobat PDF - 108.21 KB].
Complete this form prior to coming to the sleep lab for your sleep study. - #6: Order Form: Sleep Study, CPAP / BiPAP Equipment, Sleep Specialist [Adobe Acrobat PDF - 172.79 KB]
Download or Print this form and take to your physician.
Sleep Disorder Screening Tools
- Epworth Sleepiness Scale [Adobe Acrobat PDF - 46.67 KB].
- Berlin Questionnaire and Body Mass Index (BMI) [Adobe Acrobat PDF - 50.23 KB].
- Sleep Apnea Risk Calculator
- Feeling Great Sleep Center, NC, Sleep Apnea Screening Tool [Adobe Acrobat PDF - 358.96 KB]
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Invitation to Our CPAP / BIPAP Users 
Now you can purchase your equipment & supplies via our online store or by visiting
one of our CPAP / BiPAP equipment and supplies stores conveniently
located in Durham, Burlington & Jacksonville, North Carolina. Our
team of experts will also answer your questions, adjust your machine's
settings, and do whatever it takes to ensure that your sleep apnea
treatment is successful.
Our Dedicated Team of Professionals:
- Board-Certified Sleep Physicians
- Licensed Respiratory Therapists
- Registered Sleep Technologists
- Patient-Care Consultants
Feeling Great Sleep Centers offer...
- Leading-Edge Testing and Patient-Centered Care
- All-In-One Sleep Solutions - Physician Consultations & Evaluations * Sleep Testing * Treatment * CPAP / BiPAP, Oxygen Supplies & Equipment
Feeling Great Sleep Centers, Clinics, Equipment Support Locations and Corporate Headquarters
Our Feeling Great Sleep Centers are conveniently located throughout North Carolina and each deals with one or more specific sleep-related services. You'll find our sleep centers at the specified locations listed below. Also, free parking is available close to our Durham, Burlington, and Jacksonville locations.
- Corporate Headquarters, CPAP Clinic & Store, Physician Clinic: 4111 Capitol Street, Durham, North Carolina 27704 (Location Map)
- Oxygen Equipment & Supplies: 115 Olympic Avenue, Durham, North Carolina 27704 (Location Map)
- Sleep Center: 4007 Roxboro Road, Durham, North Carolina 27704 (Location Map)
- Sleep Center: 6011 Fayetteville Road, Suite 102, Durham, North Carolina 27713 (Location Map)
- Sleep Center, CPAP Clinic & Store: 1161 Huffman Mill Road, Burlington, North Carolina 27216 (Location Map)
- Sleep Center, CPAP Clinic, Physician Clinic: 3642 Henderson Drive Ext., Jacksonville, North Carolina 28546 (Location Map)
We look forward to being of service to you!
