Sleep Medicine New Patient Questionnaire

Streamline Your Sleep Medicine Practice with a Comprehensive Patient Intake Form

Sleep disorders affect millions of people worldwide, and accurate patient assessment is the foundation of effective treatment. This Sleep Medicine New Patient Questionnaire template helps sleep medicine specialists, pulmonologists, and sleep clinics gather critical information efficiently and professionally.

Built with Paperform, this template combines validated assessment tools like the Epworth Sleepiness Scale with detailed sleep history, bed partner observations, and CPAP usage tracking—all in one streamlined digital form. Instead of juggling paper questionnaires, clipboards, and manual data entry, you can collect comprehensive patient information before the first appointment, allowing you to focus on diagnosis and treatment planning.

The form's conditional logic adapts to each patient's responses, showing relevant follow-up questions only when needed. For example, patients with previous CPAP therapy experience will see detailed questions about their equipment and compliance, while those new to sleep medicine receive a more foundational questionnaire.

Perfect for Sleep Medicine Professionals

This template is ideal for:

• Sleep medicine physicians conducting initial consultations
• Sleep disorder centers managing new patient intake
• Pulmonologists treating sleep-related breathing disorders
• Healthcare clinics offering sleep study services
• Telemedicine providers conducting remote sleep assessments

Automate Your Intake Workflow with Stepper

Take your patient intake process further by connecting this form to Stepper, Paperform's AI-native workflow automation platform. Automatically route high-risk patients for urgent assessment, send intake summaries to your EMR system, schedule follow-up sleep studies, and trigger reminder workflows for sleep diary completion—all without writing a single line of code.

HIPAA Compliance Note

Please note that while Paperform offers SOC 2 Type II compliance and robust security features, it is not currently HIPAA compliant. For practices requiring HIPAA compliance, please ensure you have appropriate business associate agreements and security measures in place, or consider using this template for non-protected health information collection only.

Start gathering better patient data from day one, reduce administrative burden on your staff, and provide a modern, professional experience that sets the right tone for ongoing care.