Please print and fill out the forms below and bring all pages with you to your appointment.
By having the forms completely filled upon your arrival, you assure yourself a faster process.
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I can only do this if you work with Kaiser Permanente insurance. Otherwise, I won’t be able to afford it.
We offer financing for Kaiser patients. As obstructive sleep apnea is a serious health risk, we suggest you put yourself first and consider coming in to explore our treatment program.