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Myofunctional Therapy Patient Materials and Resources

New Patient Online Forms

Evaluation by Parent or Patient
Medical History
Patient Registration
Tinnitus And Tmd
Infectious Disease Questionnaire
NMS Acknowledgement of Financial Responsibility

New Patient Printable Forms

Welcome Letter
Insurance Letter for MYO
Privacy Practices
Evaluation by Parent or Patient
Medical History
Patient Registration
Tinnitus And Tmd
Infectious Disease Questionnaire
NMS Acknowledgement of Financial Responsibility

Pamphlets and Brochures

Myofunctional Specialties pamphlet
Ankyloglossia pamphlet
Open Mouth Posture pamphlet
Thumb sucking brochure
TMJ brochure
Tongue Thrust pamphlet

Helpful Links

Academy of Applied Myofunctional Sciences
American Academy of Physiological Medicine & Dentistry (AAPMD)
American Speech-Language-Hearing Association (ASHA)
International Association of Orofacial Myology
Nebraska Dental Hygienists’ Association
Nebraska Dental Association
Patient Fusion
Skype – patricia.brinkman.falter

Meet the Professional

Pat is a Board Certified Orofacial Myologist (COM) through the International Association of Orofacial Myology (IAOM). She is a Nebraska approved provider of continuing education for Orofacial Myology and lectures at dental and medical schools and professional meetings.

Pat has practiced Orofacial Myology since 2008 in Central and Eastern Nebraska and and has been a practicing dental hygienist for 35 years.

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Phone Numbers

(402) 882-2MYO (882-2696)

(402) 759-2561

FAX: (402) 513-7877

Locations

8911 Whispering Wind Road, Lincoln, NE

8420 W Dodge Road, Suite 330B, Omaha, NE

408 Plate Ave, Suite B, York, NE

1220 21st Ave, Rock Valley, IA 51247

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