Sleep Referral Forms

Referrals for attended Level-1 sleep studies and home sleep tests and can be made by faxing or sending the completed referral form (below link) to our office.

Manse Medical staff will contact your patient to arrange a date and suitable location for their study.

Sleep study Referral here.

For information on Manse Medical’s Patient Pathway, see below.


The following questionnaires are used to identify the probability of OSA for your patients:

STOP-BANG Questionnaire

Epworth Sleepiness Score Questionnaire


Manse Medical provides facilities for attended Level-1 sleep studies in Ballarat, Geelong, Hamilton and Warrnambool.

Home sleep tests can be arranged in Ballarat, Geelong, Hamilton, Warrnambool and Horsham.