Patient Referral | Jennifer Buchanan, DDS

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TMJ Disorders and Orofacial Pain Specialist

Dental Sleep Medicine

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Dentists & Doctors can refer patients below
for TMJ or sleep apnea

For updated new TMJ patient appointment information call 415-460-1601 x 3

Referring Doctor

First name

Last name

Date of Birth

Patient Phone

Patient Email for appt information

REASONS FOR REFERRAL:

Jaw Pain

Jaw Noises

Bruxism, clenching, grinding

Limited range of motion

Jaw locking or dislocation

Facial Pain

Headache

Difficulty eating or swallowing

Bite changes

Injury to jaw, head or neck

Tooth pain of unknown origin

Nightguard

Oral appliance for sleep apnea

Comments:

Please have the patient contact our office 415-460-1601

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