At Pulmonary Practice Associates, we strive to improve our patients’ health by staying current in both our techniques and diagnostic equipment. Our home sleep study technology allows you, the patient, to have your sleep studied in the comfort of your own home. We are excited to provide this easy-to-use technology as an economical solution to our patients.

Use Responsibility:

I, the patient, understand that while the monitoring device is in my possession, I agree to exercise care in its use and handling, and return the device within the promised time frame in working condition. I understand that delays in its return will cause problems for other patients who need this service as well.

Financial Responsibility:

I the undersigned patient, understand that if the device is lost, stolen or damaged while in my possession, I am financially responsible to pay Pulmonary Practice Associates the current market price for the replacement of this device. The estimated cost for replacing the home sleep test device is $700.00.

I am checking this device and I agree to return it on (date) before 11:00 am at the conclusion of my sleep study so that other patients may have the same opportunity to be tested. If I do not return it by the date above, I agree to pay a $50.00 late fee per day until the equipment is returned.

All No-Show appointments are subject to a $75.00 charge.

The patient was instructed on how to utilize Home Sleep Study machine.

Testing Locations