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    • Home
    • About
    • Symptoms
      • Candidate?
      • Tongue Tie
      • Pre/Post Frenectomy
      • Tongue Thrust/Swallow
      • Early Feeding Skills
      • Mouth Breathing/Oral Rest
      • Sleep Apnea/Snoring
      • Myofunctional Issues 1-5+
      • Eliminate Oral Habits
      • Lip Incompetence
      • Lactation Support
      • Bottle Feeding
      • TMJD/Chewing Dysfunction
      • Voice Therapy/Tongue Tie
      • Fluency/Stuttering
    • Assessment
      • Assessment
      • Myo Screening Clinics
    • Programs
      • Treatment Areas (0-99 yr)
      • Therapy Plans & Pricing
      • Baby Myo/Infant Feeding
      • Baby Frenectomy Support
      • Tiny Myo (ages 1-4)
      • Baby Myo To Go (0-12 mos)
      • Tiny Myo To Go (ages 1-4)
      • Myo To Go (ages 5-99+)
      • Lactation Spot
      • Speech Language Spot
      • Policies/Disclaimers
    • FAQ
    • Physicians
    • Forms
    • Contact
    • Join our Team!
    • Upcoming Events
  • Home
  • About
  • Symptoms
    • Candidate?
    • Tongue Tie
    • Pre/Post Frenectomy
    • Tongue Thrust/Swallow
    • Early Feeding Skills
    • Mouth Breathing/Oral Rest
    • Sleep Apnea/Snoring
    • Myofunctional Issues 1-5+
    • Eliminate Oral Habits
    • Lip Incompetence
    • Lactation Support
    • Bottle Feeding
    • TMJD/Chewing Dysfunction
    • Voice Therapy/Tongue Tie
    • Fluency/Stuttering
  • Assessment
    • Assessment
    • Myo Screening Clinics
  • Programs
    • Treatment Areas (0-99 yr)
    • Therapy Plans & Pricing
    • Baby Myo/Infant Feeding
    • Baby Frenectomy Support
    • Tiny Myo (ages 1-4)
    • Baby Myo To Go (0-12 mos)
    • Tiny Myo To Go (ages 1-4)
    • Myo To Go (ages 5-99+)
    • Lactation Spot
    • Speech Language Spot
    • Policies/Disclaimers
  • FAQ
  • Physicians
  • Forms
  • Contact
  • Join our Team!
  • Upcoming Events

INTAKE FORMS & QUESTIONNAIRES

Infant Feeding Caregiver Questionnaire (pdf)

Download

Child Adolescent Myofunctional Intake Form (pdf)

Download

Adult Intake Forms (pdf)

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Infant Feeding Screening Form (pdf)

Download

HIPAA Privacy (pdf)

Download

OSA and Breathing Disorder Questionaire (pdf)

Download

BEBID Adoloscent Sleep Screening (pdf)

Download

Stop Bang OSA Questionnaire (pdf)

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Sleeping and Breathing Checklist (pdf)

Download

Child Tongue Restriction Questionnaire (pdf)

Download

Sleep Quality Assessment (PSQI) (pdf)

Download

TMJ Health Questionnaire (pdf)

Download

Adult Tongue Restriction Questionnaire (pdf)

Download

Copyright © 2025 Myofunctional Spot - All Rights Reserved.

  • Home
  • About
  • Candidate?
  • Tongue Tie
  • Pre/Post Frenectomy
  • Tongue Thrust/Swallow
  • Early Feeding Skills
  • Mouth Breathing/Oral Rest
  • Sleep Apnea/Snoring
  • Myofunctional Issues 1-5+
  • Eliminate Oral Habits
  • Lip Incompetence
  • Lactation Support
  • Bottle Feeding
  • TMJD/Chewing Dysfunction
  • Voice Therapy/Tongue Tie
  • Fluency/Stuttering
  • Assessment
  • Myo Screening Clinics
  • Treatment Areas (0-99 yr)
  • Therapy Plans & Pricing
  • Baby Myo/Infant Feeding
  • Baby Frenectomy Support
  • Tiny Myo (ages 1-4)
  • Baby Myo To Go (0-12 mos)
  • Tiny Myo To Go (ages 1-4)
  • Myo To Go (ages 5-99+)
  • Lactation Spot
  • Speech Language Spot
  • Policies/Disclaimers
  • FAQ
  • Physicians
  • Privacy Statement
  • Terms and Conditions
  • Medical Disclaimer
  • Forms
  • Contact
  • Join our Team!
  • Upcoming Events

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