REFER US TO YOUR NEXT PATIENT

FORMS

Sleep Study Referral Form (Use the form at the bottom of this page to request a downloadable PDF if you do not wish to fill online.)

SLEEP STUDY ORDER FORM

  • DON'T STRESS - WE OBTAIN THE AUTHORIZATION

    Please Send: Insurance Cards • Demographics • Clinical Notes and we'll take care of the rest!
    Office: 480-214-9000 x402 • Fax: 480-889-1859

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DOWNLOADABLE FORMS

Enticare Locations

(With a sleep lab) *For sleep studies, Enticare only requires a co-pay and NO deductibl

Chandler

2051 W Chandler Blvd #5 Chandler, AZ 85224 Find on Google Maps

(480) 214-9000 Option 2 Fax (480) 889-1859 Hours: Mon-Fri 8a-5p

Glendale

17215 N 72nd Dr. Bldg D Ste 140A Glendale, AZ 85308 Find on Google Maps

(480) 214-9000 Option 2 Fax (623)-322-5599 Hours: Mon-Fri 8a-5p

Casa Grande

1968 N Peart Rd # 20 Casa Grande, AZ 85122 Find on Google Maps

(480) 214-9000 Option 2 Fax (520) 509-1417 Hours: Mon-Fri 8a-5p

(Without a sleep lab)

Deer Valley

19841 N 27th Ave #301 Phoenix, AZ 85027 Find on Google Maps

(480) 214-9000 Option 2 Fax (623) 388-4278 Hours: Mon-Fri 8a-5p

Gilbert

3420 Mercy Rd #107 Gilbert, AZ 85297 Find on Google Maps

(480) 214-9000 Option 2 Fax (480) 214-9999 Hours: Mon-Fri 8a-5p

Contact Us

  • We are happy to answer any questions you have before you refer a patient to Enticare. Please fill out the form below and we will contact you as soon as possible. Thanks!
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