Sleep Medicine / Sleep Study / Sleep Apnea Treatment

Please bring below requisition form to your family doctor. (in Microsoft Word or PDF format)

Once the form is completed and signed , it can be sent directly to our clinic by email at info@orilliacpcp.com or by fax at 705 558 9899.

Orillia CPAP – Referral Form (word version)

Orillia CPAP – Referral Form (pdf version)