Registration Forms

Ages 14+

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

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

Ages 0-13

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

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

for TMJ consultations ONLY