Order details for Frank Ledda

Selected Prescriptions

Ambien (Zolpidem) Extended-Release 10mg

1 Month Supply (30 Count)

Patient Profile

  • Gender: Male (58 Yrs)
  • DOB: Jul 18, 1967
  • Height: 5'9.00"
  • Weight: 225 lbs

Shipping To

Mr. Ledda
15075 Churchill St
SAN LEANDRO, California
94579

Contact Info

fledda@airtreatment.com

(510) 701-5940

IP: 2600:1700:4261:e880:986b:49df:46f8:7cdd Order Date: Feb 12, 2026, 9:26 AM

SLEEP INTAKE RECORD:

Submitted: Feb 12, 2026

Patient Name

Mr. Frank Ledda

DOB: 07/18/1967 (58 Yrs)

Contact Info

(510) 701-5940

fledda@airtreatment.com

Physical Profile

Weight: 225 lbs Height: 5'9.00"

1. Experience with Sleep Difficulty Duration

✕ Less than 2 weeks
✕ 2-4 weeks
✕ 1-3 months
✓ More than 3 months

2. Main Sleep Issues

✓ Trouble falling
✕ Trouble staying
✕ Waking too early
✕ Unrefreshing

3. Time to Fall Asleep

✕ < 30m
✓ 30-60m
✕ > 60m
✕ None

4. Disrupted Nights Per Week

✕ 1-2 nights
✓ 3-4 nights
✕ 5-7 nights

5. Hours of Sleep Per Night

✕ < 4 hours
✕ 4-5 hours
✓ 6-7 hours
✕ > 7 hours

6. Daytime Impact

✓ Fatigue
✓ Poor focus
✕ Mood changes
✓ Performance
✕ None

7. Unintentional Daytime Sleep

✕ Yes
✓ No

8. Lifestyle Factors

✕ Caffeine > 2PM
✕ Alcohol for sleep
✕ Screens in bed
✕ Shift work
✓ None

9. Past Treatments/Supplements

✓ Melatonin/Mag
✕ Antihistamines
✕ Prescriptions
✕ CBT-I
✕ None

10. Treatment Effectiveness

✓ Not effective
✕ Somewhat
✕ Very

11. Medical History

✓ Sleep Apnea/Disorders
✕ Mental Health (Dep/PTSD)
✕ Sleepwalking/Behaviors
✕ Substance Misuse
✕ None

12. Current Medications/Substances

✕ Opioids
✕ Benzodiazepines
✕ Regular Alcohol
✕ Other Sedatives
✓ None

Patient Acknowledgment

Short-term use & No-alcohol policy

AGREED ✓