It appears that your browser may be outdated and performance may be limited. The My Study builder is best viewed with the latest internet browsers. However, if you’d prefer to use our standard form, you can access it below.

Go to Internet Explorer Quick Quote Form

Dismiss this message

Provider Referral Request Instructions

How to Issue a Practitioner Referral Request to Patients for Circadian Phase Testing.

For registered providers, you can use your Practitioner Referral ID# to send an assessment referral request to an individual’s e-mail address. Previous order requests can be found in the Referral History under your account profile.

Referral Request Step-by-Step Outline:

  1. Build a Shopping Cart with the required assessment or assessments. You do not need to be logged into an account.
  2. On the “Cart” page click on “Send a Referral Request” button (top left).
  3. Enter your Practitioner Referral ID#, Patient Email, and Patient Phone Number.
  4. Click Submit.

* You can use the same cart or build a new cart to send additional referrals to different patients.

Contact: Salimetrics (USA)
View All International Distributors