Patient Forms

If you are suffering with pain and/or TMJ issues, please fill out the new patient forms for BOTH the Craniofacial Pain/TMJ AND Dental Sleep Medicine(even if you do not think you have a sleep disordered breathing issue). If you are pain free and are looking for help with getting better quality sleep, or are struggling with your CPAP, please fill out only the new patient form for Snoring & Sleep Apnea.

New Patient Forms for Craniofacial Pain/TMJ & Snoring & Sleep Apnea:

Craniofacial Pain/TMJ
Snoring & Sleep Apnea

If you are a returning patient, please fill out the appropriate forms PRIOR to your scheduled appointment time & Follow-up Forms for the Craniofacial Pain/TMJ & Snoring & Sleep Apnea:

Pain Follow up Report
Sleep Follow up Report


TMJ and Sleep Apnea
701 Highland Springs Avenue, Suite 12 Beaumont, CAs 92223
Phone: (951)769-1616