TMJ Forms

tmj forms

           New Patient TMD Examination

         Patient Follow Up Self Evaluation

           One Week Soft Guard Evaluation

         Previous TMD Related Doctor List

         Medications List

          New Patient Registration

         TMJ Soft Appliance Consent

         TMD Repositioning Appliance Consent

         Third Party Credit Card Authorization      

         Third Party Appointment/Account Authorization

         TMD Referring Doctor Information

          If you have not already scheduled a TMJ consultation with Dr. Padolsky, please call 404-876-8123 to schedule your appointment.

Atlanta TMJ Dentist Home Page

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