If you are a client or parent that would like to explore the benefits of Orofacial Myology, please complete the form below and be as detailed as possible in the comment section.  Your comment should include the client's age and condition, as well as your referral source and whether or not you will be filing services through your insurance provider.  Below you will find a link to New Client Paperwork. 

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If you are a provider that would like to collaborate, please refer clients and/or request a Lunch n' Learn by clicking below.