Self-Referral

TMJ Self-diagnostic and Self-referral

 

The following questions will help you determine if you have TMJ.  If you select 17 or more of these questions, you have some form of TMJ problem.  You can refer yourself to Dr. Jones by e-mailing this form or calling for an appointment at 918.683.3137.

 

Self Referral Form

 

Verification

 

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