I acknowledge that I am receiving a home sleep test or consultation from Home
Sleep Health, its business partners and associates. Home Sleep Health
acknowledges that it will provide you an FDA-cleared home sleep apnea testing
device that will be interpreted by a board-certified sleep physician and that any
online consultations will be conducted by a board-certified sleep physician.
I give my full permission to the staff of Home Sleep Health, and any of their
business partners or associates, to conduct my home sleep test or any activities
associated therewith including but not limited to online sleep consultations or
providing therapy equipment or supplies. I hereby expressly waive any and all
claims, which I might, now or at any future date, assert against Home Sleep Health
or its employees, agents, assignees, designees, business associates, business
partners or successors in interest arising from the performance of this sleep test or
consultation, as well as any claims arising from any ancillary activity necessary to
effectuate the sleep test. I understand the seriousness and risks associated with
sleep apnea, and I affirm that I do not hold Home Sleep Health, its employees,
agents, assignees, designees, business associates, business partners or
successors in interest responsible if I elect not to pursue treatment after a positive
diagnosis.