Pediatric Sleep Questionnaire

Designed as Research Screen for Symptoms of Obstructive Sleep Apnea and Other Sleep Disorders in Children

I-ARC Screening Checklist for Pediatric Sleep Disordered Breathing

Indication for Orthodontic Referral

A referral to an orthodontist is warranted if any of the following characteristics are present:

Alberta Practitioner ID

Please fax your referral form to (780) 407-3560.