Patient Payment Form
Please enter the payment details for the patient. You will upload the financial consent next!
Get Your FREE copy of CartFlows in just few steps.
- No product is selected. Please select products from the checkout meta settings to continue.
Patient Receipt
To maintain HIPAA Compliance, the home sleep test's receipt will have specific verbiage that only relates to Awaken2Sleep rendering the services. Upon request, the patient can ask for a detailed paid invoice from our team.