Sleep Study Requisition Form
The Cooksville Colonnade Building
3024 Hurontario Street, Suite 208
Mississauga, ON, L5B 4M4 Canada
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Sleep Lab:
905.566-1010
905-566-0440
905-566-9666
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We are a specialized and experienced team of dedicated sleep professionals, who provide the highest quality of care for the evaluation and treatment of people with sleep disorders. Sleep disorders adversely affect the quality of life, cardiovascular health, mental health, daytime energy and alertness, and increases the risk of depression, heart attacks, strokes, high blood pressure and motor vehicle or
work-related accidents.

As a patient, you can be assured of comfort, safety, optimal care and diagnosis of
your condition. You will receive an individual treatment program. As a referring physician, your patients will be promptly admitted for an overnight sleep study (with or without a daytime test) and you would receive rapid, accurate, informative and reliable diagnostic reports, plus recommendations to facilitate the immediate care your patient deserves.

Medical Director:
Dr. M. R. Goolam Hussain, M.D., C.C.F.P., F.C.F.P., D.A.B.S.M., F.A.A.S.M.

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