Patient Portal & Forms
Managing your care is easy with our online patient portal. Before your first appointment, please complete all new patient forms through the portal to streamline your check-in experience.
New patient intake forms
Follow-up appointment forms
Medical records requests
To access the portal, visit [Patient Portal link] or contact our office at 248-757-3557 for assistance.
Insurance & Billing
We accept most major insurance plans including Medicare, Blue Cross Blue Shield, Aetna, United Healthcare, HAP, Humana, and more. For a full list of accepted plans, visit our Insurance and Payment Plans page.
What to Bring to Your Appointment
Your insurance card
A valid photo ID
A list of current medications
Any prior sleep study records or physician notes, if applicable
Sleep-related equipment you currently use, such as a CPAP machine
FSA and HSA
Sleep disorder treatment and related equipment are typically eligible expenses under Flexible Spending Accounts (FSA) and Health Savings Accounts (HSA). Contact your plan administrator to confirm your specific coverage.
Payment Plans
We offer payment plans for patients who need financial flexibility. Payment plan options can be discussed with our staff at the end of your visit.
What to Expect at Your First Appointment
Your first visit to Sleep Health & Wellness is a comprehensive consultation designed to understand your sleep concerns and medical history in full.
During Your Visit
Dr. Tovar-Torres will review your symptoms, sleep history, and any relevant medical background
You may be asked about your sleep schedule, daytime energy levels, snoring, and any observed breathing irregularities during sleep
Based on this evaluation, Dr. Tovar-Torres will recommend next steps, which may include a home sleep study or additional testing
Before You Arrive
Complete all new patient forms through the patient portal prior to your appointment
Bring any prior sleep study results or physician notes
Bring your current sleep-related equipment if applicable
Write down any questions or concerns you want to discuss so you make the most of your time with Dr. Tovar-Torres
Appointment Types
We offer both in-person and video appointments depending on your insurance coverage and care needs. Contact our office to confirm which option is available for you.
How to Prepare for a Home Sleep Study
A home sleep study is a convenient, comfortable way to evaluate your sleep health from the familiarity of your own bedroom. To ensure accurate results, there are a few steps to follow before your study night.
Before Your Study
Avoid caffeine and alcohol on the day of your study, as both can interfere with sleep patterns and affect your results
Do not nap on the day of your study
Shower and wash your hair before applying the equipment. Avoid lotions, oils, or hair products, as these can interfere with sensor adhesion
Take all regularly prescribed medications as normal unless instructed otherwise by Dr. Tovar-Torres
Wear comfortable, loose-fitting pajamas. A two-piece set works best for attaching the equipment
The Night of Your Study
Set up the equipment in your bedroom before your normal bedtime
Our team will walk you through how to use the device during your office visit and provide written instructions for reference
Try to maintain your regular sleep schedule as closely as possible
If a sensor becomes dislodged during the night, do not worry. Simply reattach it if possible and continue sleeping
After Your Study
Return the equipment to our office as instructed
Dr. Tovar-Torres will review your results and contact you to schedule a follow-up appointment to discuss findings and next steps
If you have questions before or during your study, our staff is available to assist you. Call us at 248-757-3557.
Understanding Your Sleep Study Results
After your home sleep study, Dr. Tovar-Torres will analyze your results and review them with you in detail at your follow-up appointment. Here is an overview of the key terms and measurements you may encounter in your report.
Key Measurements
AHI (Apnea-Hypopnea Index) — The AHI measures the number of apnea (complete breathing pauses) and hypopnea (partial breathing reductions) events per hour of sleep. This is the primary metric used to evaluate sleep apnea severity:
Normal: fewer than 5 events per hour
Mild sleep apnea: 5 to 14 events per hour
Moderate sleep apnea: 15 to 29 events per hour
Severe sleep apnea: 30 or more events per hour
Oxygen Saturation (SpO2) — This measures the level of oxygen in your blood during sleep. Normal oxygen saturation is 95% or above. Repeated drops below this threshold may indicate sleep-disordered breathing.
Respiratory Disturbance Index (RDI) — Similar to the AHI, the RDI also includes subtler breathing disturbances that may not fully meet the criteria for apnea or hypopnea but can still impact sleep quality.
Heart Rate — Your sleep study will record your heart rate throughout the night. Irregularities in heart rate during sleep can sometimes be associated with breathing disturbances.
What Happens Next
Based on your results, Dr. Tovar-Torres will discuss a personalized treatment plan with you. Depending on your diagnosis, this may include PAP therapy, positional therapy, oral appliance therapy, or one of our advanced treatment options such as hypoglossal nerve stimulation. No two patients are alike. Your treatment plan will be tailored specifically to your needs and lifestyle.
CPAP/BiPAP Care Basics
Consistent use and proper maintenance of your PAP therapy equipment are essential to the effectiveness of your treatment. Below are guidelines to help you get the most out of your therapy.
Daily Habits
Use your CPAP or BiPAP every night, including naps. Consistent use produces the best outcomes
Clean your mask cushion and headgear daily with mild soap and warm water, then allow to air dry away from direct sunlight
Empty and rinse your humidifier water chamber daily and refill with distilled water only. Tap water can cause mineral buildup and bacterial growth
Weekly Maintenance
Wash your tubing, mask frame, and headgear weekly with mild soap and warm water
Inspect your equipment for cracks, discoloration, or wear
Monthly and Ongoing
Replace your mask cushion and filters regularly according to your equipment supplier’s guidelines
Replace tubing, headgear, and full mask components as recommended, typically every 3 to 6 months
Keep track of your equipment replacement schedule, as most insurance plans cover regular replacements
Troubleshooting Common Issues
Mask leaks — Try adjusting the fit of your headgear. If leaks persist, your mask size or style may need to be changed. Contact our office for guidance.
Dry mouth or nasal congestion — Ensure your humidifier is set to an appropriate level. A heated tube can also help with dryness.
Difficulty tolerating pressure — Do not adjust your pressure settings on your own. Contact our office and we will work with you to find a comfortable solution.
Difficulty falling asleep with the device — This is common when first starting therapy. Try wearing the mask while awake for short periods to help with adjustment. Reach out to our team if you continue to struggle.
Sleep Hygiene Tips
Sleep hygiene refers to the daily habits and environmental factors that influence the quality and consistency of your sleep. While sleep hygiene alone may not resolve a clinical sleep disorder, it plays an important supporting role in your overall sleep health and treatment outcomes.
Maintain a Consistent Sleep Schedule
Go to bed and wake up at the same time every day, including weekends
Consistency reinforces your body’s internal clock and makes it easier to fall and stay asleep
Create a Sleep-Supportive Environment
Keep your bedroom cool, dark, and quiet
Reserve your bed for sleep and intimacy only. Avoid working, eating, or watching television in bed
Consider blackout curtains, a white noise machine, or earplugs if your environment is not conducive to sleep
Manage Light Exposure
Get natural light exposure in the morning to help regulate your circadian rhythm
Reduce exposure to blue light from screens in the hour before bed
Bright overhead lighting in the evening can delay your body’s production of melatonin
Watch What You Consume
Avoid caffeine after 2:00 PM, as it can remain active in your system for up to 8 hours
Avoid alcohol close to bedtime. While alcohol may help you fall asleep initially, it disrupts sleep architecture and reduces sleep quality
Avoid large meals within 2 to 3 hours of bedtime
Wind Down Before Bed
Establish a relaxing pre-sleep routine. Light reading, gentle stretching, or a warm bath can signal to your body that it is time to sleep
If you find yourself lying awake for more than 20 minutes, get out of bed and do a quiet, non-stimulating activity until you feel sleepy
Manage Stress and Anxiety
Stress and racing thoughts are among the most common contributors to insomnia
Practices such as deep breathing, progressive muscle relaxation, or mindfulness meditation can help calm the nervous system before bed
