Looking for an Airway Mouth Doctor?

Let’s Find the Right Provider for You!

Breathing, sleep, and overall health start with your mouth. If you’re looking for a trusted Airway Mouth Doctor (AMD™) to help you or your child, we want to connect you with the best provider for your needs.

To match you with the right AMD, please answer a few quick questions below. This ensures that we guide you to a doctor who aligns with your location, budget, and treatment preferences.

First Name

Last Name

Phone *

Email *

City

State

Postal code

📝 Step 1: Let’s Get to Know You

1️⃣ What brings you here?

Yes

1.2 Tell Us About Your History & Symptoms

2️⃣ Have you taken the Impaired Mouth Syndrome Score test?

Yes

No, but I’d like to

3️⃣ Are you open to traveling to an experienced AMD™ outside your state if it’s the best option for your health?

Yes, I’m willing to travel

No, I need a provider in my area

4️⃣ Are you prepared for an investment in your health?

Yes, I can afford this treatment plan

I may need financing options

I’m looking for low-cost solutions

4.1 To avoid insurance delays, are you able to pay for treatment out of pocket?

Yes

5️⃣ Have you already seen a dentist or doctor for airway-related concerns?

Yes, and I want a second opinion

No, this is my first time exploring this

By checking this box, I consent to receive transactional messages related to my account, orders, or services I have requested. These messages may include appointment reminders, order confirmations, and account notifications among others. Message frequency may vary. Message & Data rates may apply.Reply HELP for help or STOP to opt-out.

By checking this box, I consent to receive marketing and promotional messages, including special offers, discounts, new product updates among others. Message frequency may vary. Message & Data rates may apply. Reply HELP for help or STOP to opt-out.

Once you submit this form, our team will review your responses and connect you with a qualified AMD™ in your area (or the best available). You’ll also receive educational resources on how to improve your breathing, sleep, and overall health through airway-focused dentistry.