Forms/Questionaires

Sleep Study PA Request Form
 
This form should be completed and faxed to SMS ONLY for a Sleep Study authorization.

 
 
CPAP and Bi-level Referral Form
 

This form should be completed in it's entirety and faxed to SMS ONLY for a CPAP or Bi-level referral.

Fill Out Request Form

 
 
Supply Order Form
 
Order Supplies
 
 
Patient Satisfaction Survey
 
Give us some feedback
 
 
Epworth Sleepiness Scale
 
Rate your sleepiness
 
   
 

Welcome Providers and Patients!

 

Welcome Providers and Patients to the WV PEIA Sleep website. The purpose of this site is to provide you with easy access to all the information you will need to know concerning sleep services for PEIA members. This site will provide up-to-date information to support you in having the best experience when requesting and managing sleep related services.

   
 
 

Comment of the Month

All of us at SMS would like to welcome both providers and patients to our PEIA specific website. We are excited about the opportunity to collaborate with PEIA to effectively manage sleep services for its membership. Our goal is to partner with the sleep provider community to provide the highest level of clinical quality and support to all PEIA members needing sleep services.



Have a Question?

If you have a general question about Sleep Disordered Breathing or a question or concern about your CPAP/Bi-level Therapy, please let us know.

Click here to submit a question

 
 

Success Stories

"The service I received from Sleep Management Solutions was nothing short of stellar. Their communications were timely and showed great attention to detail. I was also amazed at how quickly I received the supplies for my CPAP machine. They have proven to be a class act showing caring, attention to detail, and flexibility to best serve their customers. I look forward to using them again in the future and would not hesitate to recommend them highly. Thanks."

- L.S., WV

 

WV PEIA News

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