Welcome to the DreamDocs Patient Registration portal. Please provide the information requested below to sign up for a Sleep Telemedicine Consult with a board certified licensed physician in your state.

Last Name: * First Name: * Date of Birth: *

Sex: * M F State: * -Select-AZ AR AL AK CA CO CT DC DE FL GA HI ID IL IN IA KS KY LA ME MD MA MI MN MS MO MT NE NV NH NJ NM NY NC ND OH OK OR PA RI SC SD TN TX UT VT VA WA WV WI WY Preference: * -Select- Morning Mid-day Evening

Home Phone:

Cell Phone: *

E-mail Address: *

I agree to receive the follow up consultation notes and any orders for testing or equipment by email following my appointment in an unencrypted email format which is not HIPAA compliant.