Referrals
Sleep disturbance referral checklist
Referral checklist for persistent insomnia, possible sleep-disordered breathing, or severe daytime dysfunction.
Last reviewed 2026-02-07|sleep | insomnia | respiratory
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Minimum pre-referral workup
- Sleep history including latency, awakenings, and daytime impact.
- Screen for mood/substance contributors and sleep-apnea risk factors.
- Prior behavioral and medication interventions with response timeline.
Urgency tier
- Same-day escalation for severe somnolence with immediate safety risk.
- Expedited referral for significant functional decline or high-risk apnea concern.
- Routine referral for persistent sleep disturbance despite first-line management.
Referral packet checklist
- Structured symptom chronology and sleep-pattern documentation.
- Risk-factor summary and relevant comorbidity profile.
- Prior treatment attempts and outcomes.
Pre-referral optimization tasks
- Reinforce sleep hygiene and driving/work safety precautions.
- Continue conservative management plan while awaiting referral.
- Set follow-up interval to monitor deterioration risk.