Prescription Acknowledgement

I acknowledge that the ResMed NightOwl home sleep test has been prescribed by a licensed healthcare provider following an appropriate evaluation. I understand that the device provided is FDA-cleared and intended for home use to assist detection of sleep-related breathing disorders.

Use of Device and Study Requirements

I agree to complete a minimum of three (3) nights of testing, with each session lasting at least four (4) hours.  I understand that failure to complete the study as instructed may result in insufficient data and may require repeat testing.

Limitations of Home Sleep Testing

I understand that home sleep testing has inherent limitations and may not detect all sleep disorders or medical conditions. I acknowledge that results may be inconclusive or require additional evaluation, including in-lab testing, as determined by a licensed healthcare provider.

Nature of Services

I understand that SleepTestKit facilitates administrative, logistical, and technical aspects of the testing process. All clinical decisions, including the authorization of testing and interpretation of results, are made solely by independent licensed healthcare providers. SleepTestKit does not provide medical diagnosis or treatment.

No Physician-Patient Relationship with SleepTestKit

I understand that my use of SleepTestKit does not create a physician-patient relationship between myself and SleepTestKit. Any such relationship exists solely between me and the licensed provider involved in my care.

Insurance and Billing

I understand that SleepTestKit does not submit claims to insurance providers on my behalf. I may choose to submit documentation for reimbursement independently. I acknowledge that reimbursement is not guaranteed and is subject to the terms of my insurance plan.

Financial Responsibility

I agree to pay the stated fee of $200 for the home sleep testing service. I understand that this fee covers device shipment, study processing, and results review coordination. I acknowledge that this fee is non-refundable once the device has been shipped or services have been initiated, regardless of study completion or insurance reimbursement. Payment is processed through SKAND Corp. (A Medical Professional Corporation) on behalf of Sleep Test Kit.

Data Handling and Communication

I understand that my study data and results may be transmitted electronically in a manner intended to comply with applicable privacy laws, including HIPAA.

Service Completion and Expiration

This agreement applies to the home sleep testing services initiated under this order. The patient agrees to complete the study within sixty (60) days of the date of order/payment. If the study is not completed within this timeframe, SleepTestKit may, at its discretion, consider the order inactive. Reactivation may require a new order and acceptance of a new agreement. Fees paid are non-refundable once services have been initiated.

Incorporation of Terms of Use

I acknowledge that I have been provided access to the SleepTestKit Terms of Use and Privacy Policy. I agree to be bound by those terms, including dispute resolution provisions, to the extent permitted by law.

Electronic Consent

I consent to the use of electronic records and electronic signatures in connection with this agreement and related services.