Online Forms
Please use the forms below to complete the patient information and medical history. If you have any questions or would like paper forms instead, please email us at info@annapolistmj.com.
If you are a provider in the DC, Maryland, Virginia area, please use send us an email at info@annapolistmj.com or call us at (410) 268-7890.
Patient Forms
We utilize digital dentistry to improve speed and quality of service. Please fill in the following forms prior to your visit to our office. For all services, we could help you submit to insurance as a courtesy. To complete this process smoothly, we require your help in capturing accurate information prior to your visit.
Sleep Apnea
Please complete the following form prior to your visit. It should take about 30 to 45 minutes.
Link (opens in a new window): Sleep Apnea Pre-Visit Form
TMJ Treatment
Please complete the following form takes prior to your visit. It should take about 30 to 45 minutes.
Link (opens in a new window): TMJ Disorder Pre-Visit Form
Orofacial & Myofunctional Therapy
Please complete the following form prior to your visit. It should take about 15 to 30 minutes.
Link (opens in a new window): Orofacial & Myofunctional Therapy Pre-Visit Form