Elliot Sleep Evaluation Center: Patient Information

To schedule, cancel, or reschedule an appointment, please call our office at 603-663-6680 or log into your MyChart account. If you do not have a MyChart account, please click here to sign up.

If you need to cancel your appointment, please call our office at 603-663-6680 and allow 48 hours' notice so we may offer that appointment to another patient. Cancellations less than 24 hours before your appointment may be subject to a cancellation fee that is not payable by insurance.

Insurance Card, including your policy number and/or Medicare/Medicaid card.

Co-payment is expected when you check-in. For your convenience, we accept checks, cash, Visa, Mastercard, Discover, and American Express.

Prescription Medication(s) in their original bottles or a list of all medications, including over-the-counter medications, vitamins, and supplements, and the amounts you take.

Please arrive 15 minutes before your scheduled appointment.

To refill a prescription, please call our office at 603-663-6680 or log into your MyChart account. If you do not have a MyChart account, please click here to sign up.

Please allow 48 hours to refill medications.

Our physicians see patients 18 and older.

Any individual with a sleep complaint can be seen at the Elliot Sleep Evaluation Center. Many patients are referred by their physicians, but self-referrals are also accepted. The referring individual should call the Center to schedule an appointment. The first appointment will be a consultation, which includes an interview with a sleep specialist and a brief physical exam. During the visit, a decision will made if a formal sleep study is needed.

If you would like a copy of your medical record, please download and complete the form below. Completed forms can be mailed, faxed, or brought back to our office.

Medical Records Release Form

Sleep History Form