Dear Doctor:
For your convenience I have attached my RX form so it can be scanned into your system. According to the AADSM and AASM it is needed to treat every patient for the Oral Sleep Device.
We will need the following for all patients that are being referred to our office:
- LOMN/RX form signed by the referring Doctor
- Most current sleep test results
- Progress/Clinical notes
FAX: 330-591-4088
EMAIL: Medinadentalsleep@gmail.com
If you have any questions, please contact us at (330) 667-4442 or my cell at 330-573-4606.
We appreciate your business.
Thank you,
Dr. Sailaja Reddy, DMD,
Diplomate, ABDSM.