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505.474.4644

Center For Dental Medicine

Treat obstructive sleep apnea and snoring with dental splints

Please complete these forms

If you would like to visit us for treatment of snoring or sleep apnea with a dental splint, please complete these two forms. The first is to give us permission to get information about your problem from other health care providers. The second is a comprehesive health questionnaire.

When you open these forms in a PDF reader, you will be able to type your reponsese into the form. You can save the form with the responses, and email it to us. (There is no direct email link here, to reduce the amount of spam we receive.)
Email the forms to office (at) wartell (dot)com.
If you prefer, you may print the forms and fax them to us at 877-748-9620.
You may also mail them to us at Santa Fe Dental Sleep, 2019 Galisteo St, J2, Santa Fe, NM 87505.

The forms are most useful if we receive them a few working days before your appointment.

Permission for release of records

Health Questionnaire

 

Call us

If you are not sure you would like an appointment, we are happy to answer by phone any questions you may have. Call us at 505-466-4731.

If you would like to make an appointment, we feel it is best to do so by phone. Computerized appointment systems try to make you fit the system. We try our best to fit your needs.