New Patient Kit

To save time during your first visit to The Alpher Center, please print and complete the following form(s) so that we may get to know you and understand your symptoms. Remember to send these forms in advance or bring the day of your scheduled visit.

Each form takes about 30 minutes to complete. 

Sleep Screening Questionnaire

  • Patient Contact Information
  • Medical History
  • Sleep History Exam
  • Sleep Screening Questionnaire
 

TMJ Screening Consultation

  • Patient Contact Information
  • Medical History
  • TMJ Screen Consultation