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NEW PATIENT FORMS

Before your first appointment, please complete the following intake forms as thoroughly and accurately as possible. These forms allow me to better understand your TMJ symptoms, pain patterns, medical history, stress levels, jaw function, and treatment goals. All information is kept strictly confidential and is used solely to support your treatment experience.

TMJ & Orofacial MassageTherapy, LLC

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Erica Fenech, LMT

OH License # 33.023386

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Serving West Chester, Mason, Liberty Twp., Fairfield and Hamilton, OH​

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