Dear ______________________ Medical Record # ___________________

You have been scheduled for an overnight sleep study at the Kaiser San Jose Medical Center. It is imperative that you arrive promptly at your scheduled appointment time.

Please have dinner prior to arriving at the sleep laboratory as we will need to begin your hook-up in a timely manner.

Sleeping accommodations are limited. For children under the age of 18 we allow one family member to sleep in the same room in a reclining chair. Additional family members that accompany the patient will not be allowed to stay overnight. Patients who require a caregiver to be present throughout the night will need to contact us to assure proper arrangements have been made.

For our adult patients, if you feel you will have difficulty sleeping in a laboratory environment we recommend that you bring a one night dose of Ambien. Ambien is a short acting sleeping pill that will not compromise the quality of your study. You will need to obtain a prescription from your doctor for this medication. We do not distribute any medications in the sleep laboratory.

For all patients please bring and take your regular medication as prescribed by your doctor unless otherwise directed.

If you are suffering from a cold, flu, or nasal allergies please contact us regarding your appointment as these conditions may alter your test results.

You need to call us at 408-972-6742 within 48 hours of your appointment date to confirm or cancel your scheduled time.If we don not hear from you, your appointment will be cancelled. Due to the elaborate and expensive arrangements for this supervised sleep study we have to enforced this policy.

Please provide the License plate number of your vehicle if it is parked overnight at our facility. Security will be notified of your presence in our department and your vehicle will not be towed.

License Plate Number_________________________Make_________________Model_______________

For more information please log on to our website: www.kpsanjose.org and go to Specialty Departments and choose Sleep Medicine Laboratory.

Please review the attached patient instructions and travel directions. You will need to sign and bring this letter to your appointment, assuring us that you understand and agree to abide by the Sleep Department Policy and Protocols.

________________________

Patient/Parent/Guardian