INFORMATION FOR DOCTORS AND OTHER HEALTH CARE PROFESSIONALS
Now with 2 locations
La Salle serving Winnipeg and Eastern Manitoba: 204-736-4399
Portage La Prairie serving the Portage area and Western Manitoba: 204-814-0111

© 2024 - The TMJ & Sleep Therapy Centre
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New Patient Forms

Use our Online Patient Questionnaire:  LAUNCH IT HERE!

Patient Questionnaires:

DOWNLOAD - our TMJ and Sleep Apnea Questionnaire

DOWNLOAD - our Functional Orthodontics and Orthopedics Questionnaires

Referral Forms:

DOWNLOAD - our Adult TMD, Snoring & Sleep Apnea form

DOWNLOAD - our Pediatric TMD & Airway form

  • Scan and e-mail it to: ac.gn1570397810irons1570397810jmt@o1570397810fni1570397810
  • Portage La Prairie & Western Manitoba
    • Fax forms to: 204-814-0133
    • Or drop it off at: unit 105 140-9th Street, Portage La Prairie, Mb, R1N 3V5
  • Winnipeg & South Eastern Manitoba
    • Fax forms to: 204-736-8210
    • Or drop it off at: 4-49 Rue Principale, La Salle, MB R0G 0A2

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