Referring Physicians

Dental Sleep Apnea NY provides an easy and convenient way for referring doctors to submit our referral form for sleep apnea treatment and snoring treatment.

Click the referral form image to the right or the download link below it for a printable (PDF ,92k) referral form. Once completed please fax it back to us at: (212) 751-2073.

We accept referrals for:

  • Oral Appliance Therapy (EO486)
  • Consult and / or Treatment
  • Matrix

The security and privacy of patient data is a primary concern and we take every precaution to protect it. If you have any questions, please contact us at (212) 867-4140.

Dental Sleep Apnea New York  •   551 5th Ave., Rm 1114, New York, NY  10176    •   P: (212) 867-4140   •   F: (212) 751-2073
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David S. Binder, DDS
Sleep Apnea and Snoring Treatment Center
551 5th Ave., Rm 1114, New York, NY 10176 USA
(212) 867-4140