Contact Us 214-466-7222 • 1-888-3-2-SLEEP Fax: 214-466-7220 Dallas Office 8722 Greenville Ave Suite 102 Dallas, Texas 75243 Rockwall Office 6435 South FM 549 Suite 202 Heath, Texas 75032 Contact Us Please complete the information below. *Please note this contact form is not HIPAA compliant and not intended for new or current patients to send messages to our sleep professionals concerning specific treatment information. Please call our office at 214.466.7222.Name* Phone*Email* ZIP* Reason*-Please SelectBilling/InsuranceCOVID-19CPAP SupplieseXciteOSA®InformationInspireJennifer Sauls, FNP-CM3 Sleep ServicesOffice VisitP Terrence Moore MDRobyn Craig MS, FNP-CSleep8TelemedicineOtherComments/QuestionsI understand and agree that any information submitted will be forwarded to our office by email and not via a secure messaging system. This form should not be used to transmit private health information (PHI), and Somnologix, LTD dba 4 Better Sleep disclaim all warranties with respect to the privacy and confidentiality of any information submitted through this form.* I Agree NameThis field is for validation purposes and should be left unchanged.