Call Today

+1 858-224-1866

}
Hours

Mon – Fri, 8am to 5pm

Call Today

+1 858-224-1866

}
Hours

Mon – Fri, 8am to 5pm

Patient Resources & Forms

Thank you for choosing Dr. PM Sleep and Wellness Medical Center. For further instructions, click on the appropriate section.

New Patients for Sleep Medicine

New Patients for Sleep Medicine

Online Forms Email Forms Print Forms

Step 1 – Select a form below then in the pop-up, enter your name & email or phone # to fill out the form online
Step 2 – Start a new form or resume working on an existing form*
Step 3 – Submit the form when it’s completed or save and continue working on it later
Step 4 – Repeat Steps 1-3 for all 3 forms

Online Forms:

*If you resume working on an existing form, you will be emailed an access code to continue working on the form.

Step 1 – Download the forms below
Step 2 – Complete the forms and save them on your computer
Step 3 – Email all 3 completed forms to drpmstaff@sdsleepdr.com

Fill out and email all 3 forms:

Step 1 – Download applicable forms on your computer
Step 2 – Print forms
Step 3 – Mail to or drop off forms at:

Dr. PM Sleep & Wellness Medical Ctr
12395 El Camino Real, Ste 209
San Diego, CA 92130

Mail all 3 forms:

New Patients for Weight Management

New Patients for Weight Management

Online Forms Email Forms Print Forms

Step 1 – Select a form below then in the pop-up, enter your name & email or phone # to fill out the form online
Step 2 – Start a new form or resume working on an existing form*
Step 3 – Submit the form when it’s completed or save and continue working on it later
Step 4 – Repeat Steps 1-3 for all 3 forms

Online Forms:

*If you resume working on an existing form, you will be emailed an access code to continue working on the form.

Step 1 – Download the forms below
Step 2 – Complete the forms and save them on your computer
Step 3 – Email all 3 forms when completed to drpmstaff@sdsleepdr.com

Fill out and email all 3 forms

Step 1 – Download applicable forms on your computer
Step 2 – Print forms
Step 3 – Mail or drop off forms to:

Dr. PM Sleep & Wellness Medical Ctr
12395 El Camino Real, Ste 209
San Diego, CA 92130

Mail all 3 forms:

Prior Patients Seen at Palomar Health Medical Group (PHMG)

Prior Patients Seen at Palomar Health Medical Group (PHMG)

Online Forms Email Forms Print Forms

Step 1 – Select a form below then in the pop-up, enter your name & email or phone # to fill out the form online
Step 2 – Start a new form or resume working on an existing form*
Step 3 – Submit the form when it’s completed or save and continue working on it later
Step 4 – Repeat Steps 1-3 for all 3 forms

Online Forms:

*If you resume working on an existing form, you will be emailed an access code to continue working on the form.

Step 1 – Download the forms below
Step 2 – Complete the forms and save them on your computer
Step 3 – Email all 3 completed forms to drpmstaff@sdsleepdr.com

Fill out and email all 3 forms

Step 1 – Download applicable forms on your computer
Step 2 – Print forms
Step 3 – Mail or drop off forms to:

Dr. PM Sleep & Wellness Medical Ctr
12395 El Camino Real, Ste 209
San Diego, CA 92130

Mail all 3 forms:

To Transfer Records From PHMG

Step 1 – To transfer records from PHMG to Dr. Mashay’s new office:  Record Release Form
Step 2 – IMPORTANT – DO NOT DATE the bottom of the first page or the release will expire on the date written.
Step 3 – Email this signed form to medicalrecords@phmg.org and drpmstaff@sdsleepdr.com to have your records transferred.

Note: If you have seen Dr. PM for Sleep Medicine and Weight Management, all documents related to Sleep Medicine and Weight Management will be transferred.

Other Patient Forms

Other Patient Forms

Epworth Sleepiness Scale Release of Records Notice of Privacy Practices

Dr. PM Sleep and Wellness Medical Center

2 Different Locations to Serve You!

Phone: 858-224-1866
Fax: 858-207-5042

Carmel Valley

12395 El Camino Real
Suite 209
San Diego, CA 92130

Oceanside

3230 Waring Court
Suite C
Oceanside, CA 92056

All content and information on this website are for informational and educational purposes only and is not a replacement or substitute for professional medical advice, diagnosis, or treatment. Please consult with a medical professional or healthcare provider. Dr. PM Corp is not liable for risks or issues associated with using or acting upon the information on this site.