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Partner with Durham Orofacial Myofunctional Therapy

Provider Referral Form

Referring Provider Information

Client Information

Birthday
Year
Month
Day

Additional Information

At Durham Orofacial Myofunctional Therapy, we believe in the power of collaborative care.

By partnering with healthcare providers like you, we ensure that our clients receive comprehensive, holistic treatment that addresses their unique needs.

Our therapies are designed to complement your existing care plans, providing targeted support for issues related to breathing, chewing, swallowing, and overall orofacial function.

We accept referrals from a variety of allied health professionals, including dentists specializing in TMD, orthodontists, speech pathologists, physiotherapists, osteopaths, chiropractors, and otolaryngologists (ENTs).

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