Thanks, your authorization was a match.

Please provide your signature after confirming the details of your order for a home sleep test for the patient indicated below.

HEALTHCARE PROVIDER INFORMATION

A sleep test is governed by the FDA to require a prescription by a licensed healthcare provider.
This option allows you to determine how to obtain a signature on the Medical Order.

PATIENT INFORMATION

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Review and confirm the details for your medical order.

If you want to review additional details about this medical order, please check the item “asking for more details” and click the “Submit” button. 

You’ll be re-presented the medical order with the additional information.

After you submit the signed Medical Order, a professional from Snap Diagnostics will take it from there and contact your patient to complete their test.