Patient Forms

If you are a patient coming to see our physicians for a PULMONARY CONSULTATION,
please download and complete the following forms, and bring them with you to
your appointment.  You may also send them to us as an attachment via email at:
SHORECLIFFSMedGroupInc@gmail.com
SMG Pulmonary Patient Info Forms (DOC 138.5 KB)

If you are a patient coming to see our physicians for a SLEEP CONSULTATION,
please download and complete the following forms, and bring them with you to
your appointment.  You may also send them to us as an attachment via email at:
SHORECLIFFSMedGroupInc@gmail.com
SMG Sleep Patient Info Forms (DOC 152.5 KB)

If you have scheduled a SLEEP STUDY with our office, please download and complete the following forms,
and bring them with you to your sleep study.You may also send them to us as an attachment via email at:
SHORECLIFFSMedGroupInc@gmail.com
Appointment Information (DOC 342.5 KB)
Patient Registration (DOC 340 KB)
Pre Sleep Study Questionnaire: 1 (DOC 342.5 KB)
Patient Rights and Responsibilities (DOC 345.5 KB)
Patient Privacy Act (DOC 342.5 KB)
Patient Sleep Log (DOC 390.5 KB)

Referring Physician Form
If you are a Referring Physician, please download and complete the following Referral.
For your convenience, you may fax the completed form to our office at (949) 493-9888, or email as an attachment to:
SHORECLIFFSMedGroupInc@gmail.com
Pacific Sleep Lab Referral (DOC 344 KB)