Request An Appointment

Westmoreland Sleep Medicine

Sleep Medicine

Are you a new or returning patient?

Please select whether you are a new or returning patient

Choose a Location

Greensburg Office

426 Pellis Rd, Greensburg, PA 15601

Scottdale Office

109 Crossroads Rd, Scottdale, PA 15683

Telehealth

Telehealth, Greensburg, PA 15601

Choose a Provider

First Available

Dr. Bharat Jain, MD

Sleep Medicine

Patient Details

Patient First Name

Patient Last Name

Phone

Date of Birth (MM/DD/YYYY)

Insurance Carrier

Reason For Request

Additional Details

Preferred Days of the Week

Please select at least one day

Any Time

Morning

Mid Morning

Afternoon

Late Afternoon

Evening

No Urgency

Same Day

Within 48 hours

This week

I'm flexible

Select Referral Source

Search(Google, Bing, etc)

Social Media

Referral

Word of Mouth

Friends / Family

Online Advertisement

Television

Radio

Other

I accept the Privacy Policy and Terms of Use.

I would like to receive text communications from Westmoreland Sleep Medicine via Treatspace, such as appointment confirmations, appointment reminders, and feedback requests. Message & Data rates may apply.

If you have an emergency, Call 911

Experiencing Issues With This Form? Contact Support

Request An Appointment

Patient Details

Additional Details

Your Appointment Request Has Been Received!

Your Request Summary