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Part of your primary care
Sleep evaluation and follow-up by telehealth
Trouble falling or staying asleep, loud snoring or daytime sleepiness can be evaluated by video. When a sleep study or sleep specialist is needed, we coordinate it and review the results with you.
Book a Visit for Sleep ConcernsAsk a QuestionText Us$150 first visit, $120 follow-up self-pay · Insurance Accepted
Practice provider: Charles Wade, FNP-BC. Information updated October 25, 2026.
Visit details
A sleep visit covers your sleep schedule, what wakes you, snoring or pauses in breathing a partner has noticed, daytime alertness, medications and mood. That points toward next steps, from changes you can make at home to formal testing.
Suspected narcolepsy, significant sleep-disordered breathing and other complex sleep disorders may need a formal sleep study and evaluation by a sleep-medicine specialist. We stay involved as your Primary Care Provider throughout.
Sleep Concerns
Conditions we commonly evaluate and treat
Examples, not a complete list. If you do not see your concern, ask us.
InsomniaTrouble falling asleepTrouble staying asleepWaking up unrefreshedExcessive daytime sleepinessSnoringWitnessed pauses in breathingSleep apnea screeningSleep apnea follow-upCPAP follow-up and coordinationNarcolepsy concernsSymptoms that suggest a sleep disorderSleep-study referral and coordinationSleep-study result reviewSleep specialist referral
More Than a Video Visit
How It Works Your care doesn’t end when the video visit ends.
Wade’s Care First is a full medical practice delivered through telehealth. When it is medically appropriate, we order, prescribe, refer and coordinate the services you would expect from a traditional outpatient practice.
- 1VisitSecure video from your phone or laptop
- 2TestingLabs and imaging ordered near you
- 3ResultsReviewed and explained with you
- 4TreatmentPrescriptions and a plan you helped build
- 5ReferralSpecialists and in-person care when needed
- 6Follow-upContinued care with the same provider
Laboratory testing
Blood work, urine tests, hormone and PSA testing, completed at a lab near you.
Diagnostic imaging
X-rays, ultrasounds, CT scans and MRIs ordered through local imaging centers.
Additional testing
Testing matched to your symptoms, history and plan, including sleep studies when indicated.
Equipment and supplies
Orders for durable medical equipment and supplies when medically necessary.
Specialist referrals
Referrals to cardiology, endocrinology, sleep medicine and more, with your care kept connected.
Prescription management
Prescribing and adjusting medications when clinically appropriate and allowed by law.
Results and follow-up
Every result reviewed with you, explained, and turned into a next step.
GeneSight® Testing
Pharmacogenomic information that may help inform mental-health medication decisions.
Care coordination
Orders and referrals sent to facilities near you, with Wade’s Care First staying involved.
Telehealth when appropriate. In-person services when needed. Coordinated care throughout.
Book a Visit for Sleep ConcernsHow It WorksWhere
Sleep Concerns in your state
You need to be physically in one of these states during the visit.
Patient Questions
All Patient Questions Questions about sleep concerns.
How do I know whether I have insomnia or simply too little time for sleep?
Insomnia involves difficulty sleeping despite an adequate opportunity to do so. Work schedules, caregiving and habits may also limit sleep, and the approach differs.
What are common signs of obstructive sleep apnea?
Loud snoring, witnessed pauses in breathing, gasping, morning headaches and daytime sleepiness can suggest obstructive sleep apnea. A clinical evaluation and appropriate sleep testing are used to confirm the diagnosis; symptoms alone are not enough.
Are home sleep-apnea tests right for everyone?
No. Home testing suits certain patients, while others need laboratory-based testing depending on medical conditions, symptoms and suspected sleep disorder.
Can trouble sleeping be related to anxiety or depression?
Yes. Sleep and mental health affect each other. We review mood, stress and other possible contributors during the assessment.
What is cognitive behavioral therapy for insomnia (CBT-I)?
CBT-I is a structured, evidence-based treatment that addresses habits and thoughts that keep insomnia going. It is commonly recommended as a first-line treatment for chronic insomnia.
Can restless legs cause problems falling asleep?
Yes. An urge to move the legs, often worse at night, may disrupt sleep. We can review symptoms, medications and whether testing or referral is indicated.
What if I work night shifts or rotate schedules?
Shift work can disrupt the body's sleep-wake rhythm. We can discuss consistent sleep windows, light exposure and other strategies suited to your schedule.
Can medication make snoring or sleepiness worse?
Some medicines and substances affect sleep quality, breathing or daytime alertness. We can review potential contributors and safer alternatives when appropriate.
Can a telehealth visit help if I already use CPAP?
We can discuss symptoms and adherence and help coordinate needed follow-up, although equipment adjustments and specialist management may require your sleep clinic or equipment provider.
When does sleepiness become a safety emergency?
Do not drive or operate hazardous equipment if you may fall asleep. Severe or sudden symptoms, especially with other concerning signs, need prompt medical assessment.
Good to know
Services, screening recommendations, testing, treatment options, referrals and prescribing may vary with your age, medical history, symptoms, where you are physically located at the time of the visit, state and federal requirements, insurance requirements, and whether your condition can be safely managed by telehealth. Conditions and services listed here are examples. An appointment does not guarantee a particular diagnosis, a prescription, a controlled medication, hormone therapy, a lab order, an imaging study, a sleep study, a specialist referral, an accommodation letter or a particular treatment. Treatment decisions follow a clinical evaluation and the provider’s judgment.
Practice provider: Charles Wade, FNP-BC. Information updated October 25, 2026.
Patient Education
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Arizona, Florida, Illinois, Indiana, Kentucky, Michigan, Nevada and New York, with Texas in licensing.
Book a Visit for Sleep ConcernsAsk a QuestionText UsIf this is an emergency, call 911. For mental health crisis support, call or text 988 anytime.