Thank you for choosing Sleep Insights! We look forward to meeting you and helping you to sleep better. You will find relevant, first visit information on this page, including necessary paperwork to fill out prior to your initial appointment. At any time you can call us at 585.385.6070 or contact us with any questions.
Sometimes a healthcare or dental provider offices will fax us a referral form or call us to set up a patient's appointment.
If your provider didn't do this, you can simply call your preferred location to set up a new patient appointment.
You do not need a healthcare provider referral to schedule an new patient appointment.
The following document will need to be completed at your initial appointment, unless printed and completed ahead of time. If you're unable to fill it out prior to your appointment, please arrive at least 15 minutes early:
- New Patient Packet for Rochester
- New Patient Packet for Batavia
- New Patient Packet for Geneseo
- New Patient Packet for Dansville
- New Patient Packet for North Buffalo
- New Patient Packet for Niagara Falls
- New Patient Packet for Olean and Springville
- New Patient Packet for Ghaly Sleep Center
This is a copy of our HIPAA policy for your reference. It is NOT necessary to print this off and sign:
If you had a sleep study from another location or have any other pertinent records that should be available for the provider at your appointment, please complete a Release of Records Form and send it to that facility or provider so that these records can be received in our office prior to your appointment.
Please arrive at least 15 minutes prior to your appointment if you have not already filled out the First Appointment Documents.
Bring photo ID, insurance card(s), a list of any prescriptions from your provider, and a method of payment for your visit. Co-pays, co-insurance or deductibles are due at the time of visit, prior to seeing the provider.
Bring your CPAP (sleep apnea) machine to all appointments.
Please arrive at your appointment on time. Sleep Insights requires 24 hours’ notice for any cancellation; otherwise, you will be charged a $50 no-show fee for office visits and $100 no-show fee for sleep studies.
If you are calling your insurance company to confirm whether we are a participating provider, please verify coverage for Jacob Dominik, MD –- not Sleep Insights.
We accept the majority of insurances, including:
- Most local commercial carriers (such as Excellus and MVP)
- Most national commercial carriers (such at Aetna and United Healthcare)
We do not accept Workers’ Compensation plans.
Sleep Insights will contact your insurance to verify coverage and obtain prior authorization, if necessary. Additionally, for sleep studies and CPAP equipment/supplies, we will contact your insurance to determine the portion for which you will be responsible.
If you do not have health insurance, please inquire with our billing staff prior to scheduling your appointment for our private pay pricing and payment plan options: (585) 385.6070 #6
Sleep Insights accepts MasterCard, Visa, American Express, Discover, debit cards, checks, cash, and money order. Payment can be made in person, over the phone or online.