Refer A Patient

Live Life to the Fullest

How To Get Started With Your Treatment

Screening Form

    Are You a New Patient?
    Primary Headaches or MigrainesAttention Deficit in ChildrenDizzinessLimited Mouth OpeningDifficulty SwallowingSnoring/Sleep ApneaCPAP IntoleranceEaraches, Stuffiness, or RingingPain or Soreness in TM JointsLocking Jaw (Opened or ClosedDisturbed, Restless SleepingDaytime DrowsinessDaytime DrowsinessNeck, Shoulder, Back Pain, or StiffnessClicking or Grating Sounds in TM JointsFacial or Undiagnosed Teeth Pain

    Live Life to the Fullest

    How To Get Started With Your Treatment