TMJ Patient History Form
Dizziness? Ringing in ears? Fainting spells? Grating noises in ears? Nausea? Feel or hear “clicking” or “popping” in jaw joint? Grinding/Clenching at night? Family history of jaw (TMJ) problems? Headaches in back of head or neck area? Fatigued jaw after meal? Headaches in temple areas? ................
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