4620 E Douglas, Suite 102, Wichita, KS 67208 • (316) 263-2444

Request An Appointment Provider Information Healthy Living

Are you experiencing pain?
Take our test!

Menu

Home
About Us
New Patients
Services
Healthy Living
Upcoming Events
Blog
Contact Us

Doctor Portal | Articles | CE Workshops | Referring Patients

Provider Information Links

Doctor Portal Articles CE Workshops Referring Patients

Referring Patients

To request a New Provider Welcome Packet, please email us at office@tmjsleepkansas.com

Thank you in advance for trusting your patients to Dr. Baba and Dr. McLaren and the entire team. We make referring your patients to our practice seamless and an enjoyable experience for everyone.We reserve time in our schedule for direct referrals from providers and scheduling with our office only takes a few moments.

Patient Contact Information:

* fields are required.

* Patient Name First and Last * Patient Address Line 1 Patient Address Line 2 * City * State/Province * Zip Code * Phone Number Alternate Phone Number * Patient Email Address

Patient Symptoms: (check all that apply)*

Headaches - recurring or chronic Earache or ear symptoms of stuffiness or ringing Neck Pain or Stiffness Facial Pain Jaw joint sounds - clicking, popping or grating Limited ability to open or close mouth Jaw locking (opened or closed) Sensitive, loose or worn down teeth Pain or soreness in the TM joints Dizziness or Pain or difficulty chewing or swallowing Pain behind the eyes Extreme sensitivity to light ADHD Bed wetting

TMJ Sleep Therapy Centre of Kansas
4620 E Douglas, Suite 102, Wichita, KS 67208

Call: (316) 263-2444
Fax: (316) 260-2401

Website Powered by Sesame 24-7™ | Site Map