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TMJ Sleep Therapy Centre of Northern Indiana Patient Today s date // Sleep Evaluation Questionnaire DOB // BMI Have you been told you have sleep apnea If yes do you wear it every night for the entire night Do you take medication supplements or over-the-counter substances as sleep aids or headache relief Do you feel rested in the morning Please check if you have any of the following Heart Disease Insomnia Headaches Depression Acid Reflux Stroke Yes No Diabetes Urination at night nocturia Tooth...
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TMJ and sleep formrapy is a treatment method that addresses both temporomandibular joint (TMJ) disorders and sleep disorders simultaneously.
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Information such as TMJ symptoms, sleep patterns, medical history, and previous treatments must be reported on a TMJ and sleep formrapy.
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