Get Screened Now
Tell us about yourself
1
/5
Are you 18 years old or older?
Yes
No
Continue
Tell us about yourself
2
/5
Do you sometimes feel sleepy during the day?
Yes
No
Go Back
Continue
Tell us about yourself
3
/5
Do you sometimes have trouble falling asleep at the desired time?
Yes
No
Go Back
Continue
Tell us about yourself
4
/5
Are you covered by a commercial health insurance plan (UnitedHealth, Elevance Health, etc)?
Yes
No, I'm covered by Medicare, Medicaid, or another government-sponsored healthcare plan
No, I'm uninsured
Go Back
Continue
Tell us about yourself
5
/5
To help us determine if treatment is right for you, please fill out your name and email address.
We will never sell your data. We only gather this information so that we can help you pick up where you left off.
Full Name
Email Address
Go Back
Continue
You're Eligible for Medical Treatment
Complete the form below for a virtual consult with Wheel Health.
Name
Email
Received!
Oops! Something went wrong while submitting the form.