Preparing to Order Medical Treatment from Preferred Provider

If you upload a Continuity of Care Document (CCD/CCDA) from your Electronic Health Record we can prepopulate much of the personal health information needed and simplify your patient referral.

Now that the sleep test has been performed by Snap Diagnostics. Your provider may elect to order treatment. 

NOTE: Snap is not a treatment provider, so when this order is ready, please send to your preferred Treatment Provider. Do not send this treatment order to Snap Diagnostics.

This web page allows you to organize information needed to order treatment from your preferred treatment provider.

Or, if you prefer to complete a paper form, you can click the button below to print or download an order form to complete and fax to your preferred treatment provider.

Download Treatment Order

To comply with HIPAA, we must associate your order with the proper medical provider and pre-populate personal health information from your patient to assure we provide the testing information for the correct patient.

After you submit the order form, we will send a link by email to the Ordering Provider. The link will allow the Ordering Provider to review, authorize and sign the medical order.