Request Evaluation Symptom Assessment
Before Your First Visit

New Patient Form

Your answers help us prepare for your first visit. Please complete the form within 24 hours of booking so your evaluation starts with the full picture.

TMJ & Sleep Therapy Centre International
Over 70 Centres
Located in 7 Countries
Decades
of Combined Experience
Tens of Thousands
of Patients Treated

Your Forms

Choose the form that matches your visit and complete it within 24 hours of booking.

What Happens Next

Once your form is in, our team reviews it before you arrive, so your evaluation starts with the full picture instead of paperwork.

Here is what happens between the form you just filled out and the plan you leave with.

How an evaluation works

Three steps, in order. Nothing is recommended until the first two are done.

Request an evaluation

Tell us what you are experiencing, in your own words. Call, text or send a message and we will arrange a time.

A comprehensive assessment

We examine the jaw, muscles, airway, sleep and oral function together and review your history.

A plan built on the findings

We explain what we found and what is contributing, then recommend care that fits it.

Your first visit, step by step

What happens between submitting your form and leaving with a plan.

Timeline showing the four steps of a first visit, from submitting your New Patient Form to leaving with a plan

You Leave With a Plan Built for You

Once we receive your form, we review it before your visit so your evaluation starts with the full picture. Questions about the form? Call (385) 446-4947.

Request an Evaluation