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    • Home
    • About
    • Assessment
      • Assessment
      • Myo Screening Clinics
    • Therapy
      • TREATMENT PROGRAMS
      • Therapy Plans & Pricing
      • Tongue Tie
      • Pre/Post Frenectomy
      • Lip Incompetence
      • Eliminate Oral Habits
      • Tongue Thrust/Swallow
      • Mouth Breathing/Oral Rest
      • Sleep Apnea/Snoring
      • Lactation Support
      • Bottle Feeding
      • TMJD/Chewing Dysfunction
      • Voice Therapy/Tongue Tie
      • Fluency/Stuttering
    • TINY MYO
      • TINY MYO
      • Early Feeding Skills
      • Myofunctional Issues 1-5+
      • Parent Coaching
      • TINY MYO TO GO
    • Candidate?
    • Lactation & Infants
      • Lactation Spot
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    • Join our Team!
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  • Home
  • About
  • Assessment
    • Assessment
    • Myo Screening Clinics
  • Therapy
    • TREATMENT PROGRAMS
    • Therapy Plans & Pricing
    • Tongue Tie
    • Pre/Post Frenectomy
    • Lip Incompetence
    • Eliminate Oral Habits
    • Tongue Thrust/Swallow
    • Mouth Breathing/Oral Rest
    • Sleep Apnea/Snoring
    • Lactation Support
    • Bottle Feeding
    • TMJD/Chewing Dysfunction
    • Voice Therapy/Tongue Tie
    • Fluency/Stuttering
  • TINY MYO
    • TINY MYO
    • Early Feeding Skills
    • Myofunctional Issues 1-5+
    • Parent Coaching
    • TINY MYO TO GO
  • Candidate?
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INTAKE FORMS & QUESTIONNAIRES

Infant Feeding Caregiver Questionnaire (pdf)

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Child Adolescent Myofunctional Intake Form (pdf)

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Adult Intake Forms (pdf)

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Infant Feeding Screening Form (pdf)

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HIPAA Privacy (pdf)

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OSA and Breathing Disorder Questionaire (pdf)

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BEBID Adoloscent Sleep Screening (pdf)

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Stop Bang OSA Questionnaire (pdf)

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Sleeping and Breathing Checklist (pdf)

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Child Tongue Restriction Questionnaire (pdf)

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Sleep Quality Assessment (PSQI) (pdf)

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TMJ Health Questionnaire (pdf)

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Adult Tongue Restriction Questionnaire (pdf)

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  • Home
  • About
  • Assessment
  • Myo Screening Clinics
  • TREATMENT PROGRAMS
  • Therapy Plans & Pricing
  • Tongue Tie
  • Pre/Post Frenectomy
  • Lip Incompetence
  • Eliminate Oral Habits
  • Tongue Thrust/Swallow
  • Mouth Breathing/Oral Rest
  • Sleep Apnea/Snoring
  • Lactation Support
  • Bottle Feeding
  • TMJD/Chewing Dysfunction
  • Voice Therapy/Tongue Tie
  • Fluency/Stuttering
  • TINY MYO
  • Early Feeding Skills
  • Myofunctional Issues 1-5+
  • Parent Coaching
  • TINY MYO TO GO
  • Candidate?
  • Lactation Spot
  • Infant Tongue & Lip Ties
  • Speech Language Spot
  • FAQ
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