You can click on the links below to open and download or print the form appropriate to your request or upcoming appointment. The forms can be returned to FusionSleep in person, via the fax number listed on the selected form or via mail to:
4245 Johns Creek Pkwy, Suite A
Suwanee, GA 30024
If mailing, please mark the envelope with attention to the type of form enclosed to help us route the form to the appropriate department quickly.
Attn: Medical Records
Attn: DME Supplies
Attn: New Patient Forms
At your appointment, you will have a consultation with one of our sleep medicine physicians.
The consultation is focused on giving you a complete evaluation of your medical and sleep history and understanding of potential sleep related medical issues.
Your physician will explain to you in detail if you may be at risk, and what solutions exist. During the visit, your doctor will also discuss whether further testing is required.
Please arrive 15 minutes prior to your appointment time, and if possible, complete and return necessary medical forms ahead of time. Also, please be sure to bring your insurance information.
We will do everything possible to make your visit as efficient and comfortable as possible.
FusionSleep offers a state of the art sleep center for sleep testing.
The most common sleep test is called a Polysomnogram (PSG).
This test is performed during an overnight stay at our facility, but can also be conducted during the day for shift workers.
Our facility is designed to make your stay comfortable and relaxing in a hotel-like environment.
Our sleep medicine program is nationally accredited by the American Academy of Sleep Medicine (AASM).
At FusionSleep, we not only meet these standards, we surpass all national expectations and serve as a model for the future of sleep medicine programs.
The next step is to review your test results. Typically this would be done during a follow-up visit with one of the specially trained sleep medicine clinicians.
All test results are carefully reviewed by the professional staff, and interpreted by board-certified sleep medicine physicians.
Based on the results and the recommendation of your clinician, you will decide what therapy option you wish to pursue.
Most major healthcare insurance plans cover sleep, physician consults, diagnostic testing and treatment of sleep disorders. We participate in and accept all major health care insurance plans.
Patients are responsible for knowing their benefits, making sure their insurance covers FusionSleep fees and making necessary payments.
EVOLUTIONS HEALTHCARE NETWORK
GALAXY HEALTH NETWORK
GREAT WEST HEALTHCARE
MEDICAID (physician office visits only-no sleep testing)
NATIONAL PROVIDER NETWORK
USA MANAGED CARE NETWORKS
Our benefits specialists will work with patients to explain the benefits of their insurance, or explore potential out of network options.
Under a particular insurance plan, the registered provider may vary and be either FusionSleep® LLC.
Call 678.990.3962 to speak to a benefits specialist to answer any questions that you may have about your coverage.
FusionSleep® combines unparalleled expertise in Sleep Medicine with multiple treatment options for both children and adults.
With an integrated full-service Patient Support Program, all patients receive close follow-up from dedicated Sleep Medicine professionals.
The FusionSleep® research and clinical team is known for their expertise in understanding the mechanisms and treatments of a large array of sleep related issues. The most common Sleep Disorders include:
Our all encompassing approach has made us the leaders in the region, and we are proud to offer the only CompleteSleep Medicine Program in the area, focused on providing treatment options and enduring long term quality of life benefits to patients.
We know it is challenging to keep track of your supply replacement schedule. To help you with this, we have implemented a communication system that will remind you when it is time to replace your supplies and allow you to easily order replacements. In addition, the system will help us stay in touch with you and address any issues you might be having with your equipment or therapy.
The system will contact you by telephone or email at appropriate intervals based on the supply schedule dictated by your insurance provider. We hope you find this service to be a beneficial part of your ongoing support from FusionSleep.
Due to insurance companies requiring pre-cert and compliance data to obtain supplies, please allow 48 hours to process your order.
Cash or direct payment:
Pre-cert required by your insurance company: