Free Screenings
Below are two free screening forms to help identify potential airway restrictions and tethered oral tissues.
The screening forms are designed for use by both patients and providers, and printable PDF formats are available for download.
Self Assessment
If you answer yes to any of the listed symptoms, you could have an airway resistance disorder or tethered oral tissues. Further evaluation by a trained myofunctional therapist is recommended for individualized care.
To schedule a comprehensive myofunctional therapy assessment with Liz, click here.
These Forms are protected by copyright laws and may not be altered or used for personal or commercial gains.
Provider Screening Forms
Sleep Disorders Screening Packet
Airway Patency Assessment
These Forms are protected by copyright laws and may not be altered or used for personal or commercial gains.
Please note: nothing recommended within this website is to be taken as direct medical advice. This platform is used as a way to share information only. Please consult your medical doctor before starting any dietary or lifestyle supplementation or modifications.
Questions?
Check out the forum to post questions and have constructive discussions with other patients & providers.