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We've built an online HIPAA-compliant referral form to make it easier for doctors to refer patients to our teen and adult myofunctional therapy program who have issues with airway, sleep-disordered breathing, braces and tongue thrust, TMJ, difficulties swallowing, dentures & implants, and tongue thrust, jaw surgery recovery, and tongue ties.

Your referral has been submitted! Thank you!

Referral Form

What is the reason for the referral
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