Why Refer?

Patients may benefit from referral when experiencing:

 

  • Persistent insomnia
  • Difficulty initiating or maintaining sleep
  • Sleep-related anxiety
  • Conditioned arousal at bedtime
  • Sleep disturbance associated with stress, anxiety, depression, or trauma
  • Ongoing sleep concerns despite medical investigation

 

 

Collaborative Nursing Role

Sleep & Nervous System Clinic provides nursing assessment, health education, behavioral sleep interventions, care coordination, and interdisciplinary collaboration, CBT-I.

The clinic supports clients through assessment, treatment planning, symptom monitoring, outcome tracking, and coordination with other healthcare providers when medically indicated.

With client consent, clinical information may be exchanged with physicians, nurse practitioners, psychiatrists, sleep clinics, and other members of the healthcare team to support continuity of care.

Medical Collaboration

Sleep & Nervous System Clinic values interdisciplinary collaboration.

With client consent, communication may occur with:

  • Family Physicians
  • Nurse Practitioners
  • Psychiatrists
  • Sleep Medicine Providers
  • Allied Health Professionals

Clinical updates and treatment summaries can be provided to support coordinated patient care.

When Medical Referral May Be Recommended

Further assessment may be recommended when concerns arise regarding:

 

  • Obstructive Sleep Apnea
  • Restless Legs Syndrome
  • Iron deficiency
  • Endocrine disorders
  • Cardiac concerns
  • Medication management
  • Complex psychiatric presentations
  • Other medical contributors to sleep disturbance

 

 

Referral Information

Referrals are welcome from:

  • Physicians
  • Nurse Practitioners
  • Psychiatrists
  • Allied Health Professionals
  • Community Agencies

Self-referrals are also accepted.

For consultation or collaboration inquiries, please contact Sleep & Nervous System Clinic through the Contact page.

Clinical Nursing Assessment

Comprehensive assessment may include:

 

  • Nursing health history
  • Detailed sleep history and symptom analysis
  • Review of presenting concerns and contributing factors
  • Review of current medications and supplements
  • Mental health and psychosocial assessment
  • Functional impact assessment
  • Sleep diary analysis
  • Screening for insomnia severity and sleep-related anxiety
  • Identification of behavioral, environmental, and lifestyle contributors to sleep disturbance
  • Assessment of stress, nervous system dysregulation, and hyperarousal patterns
  • Review of relevant medical history and previous investigations
  • Identification of clinical red flags requiring medical follow-up

    Standardized assessment tools may include:

    • Insomnia Severity Index (ISI)
    • Generalized Anxiety Disorder-7 (GAD-7)
    • Patient Health Questionnaire-9 (PHQ-9)
    • Sleep diaries and symptom tracking measures

    Where appropriate, findings may support recommendations for further assessment by primary care, sleep medicine, psychiatry, or other healthcare professionals.