Registration Forms

Adult New Patient Form

Ages 14+

Infant Tongue Tie Form

Ages 0-18 months
for lip/tongue tie eval
(Note: You do not need to fill out a separate new patient form)

Child Tongue Tie Form

Ages 4-17 years
for lip/tongue tie/airway eval
(Note: You do not need to fill out a separate new patient form)

Child New Patient Form

Ages 0-13

Toddler Tongue Tie Form

Ages 18 months to 3 years
for lip/tongue tie eval
(Note: You do not need to fill out a separate new patient form)

Adult Tongue Tie Form

Ages 18+ years
for lip/tongue tie/airway eval
(Note: You do not need to fill out a separate new patient form)

TMJ Evaluation Form

for TMJ consultations ONLY