Herbst

Home / Oral Appliances / Herbst

Herbst

Herbst Mandibular Repositioning Appliance

APACHE JUNCTION LOCATION

110 S. Idaho Rd. Suite 260
Apache Junction, AZ 85119
Office: (480) 503-0967
Fax: (480) 376-0462
Email: helpdesk@OralSleepAZ.com

MESA LOCATION

5440 S. Southern Ave
Mesa, AZ 85501
Office: (480) 503-0967
Fax: (480) 376-0462
Email: helpdesk@OralSleepAZ.com

Request A Consultation

Insurance

Oral Sleep Medicine of Arizona is contracted with most insurances. When reviewing our insurance list, if you don’t see a specific insurance listed, please go ahead and send over a referral. We are able to apply for GAP insurance.

Patient Forms

Patient Registration Forms
Affidavit for Intolerance or Non Compliance to CPAP
Epworth Sleepiness Scale
Record Release

Provider Forms

Dental Device Prescription
GAP Extension Letter
Official Appeal Form
Provider Authorization Form
Dental Device Script

Contact Information

Apache Junction Address
110 S. Idaho Rd. Suite 260
Apache Junction, AZ 85119
Office: (480) 503-0967
Fax: (480) 376-0462
Email: helpdesk@OralSleepAZ.com

Oral Sleep Medicine of Arizona USA GPS Directions