Skip to content
Facebook page opens in new window
YouTube page opens in new window
Twitter page opens in new window
Linkedin page opens in new window
Instagram page opens in new window
Pinterest page opens in new window
574-968-5166
FOR DOCTORS
PATIENT PORTAL
TMJ & Sleep Therapy Centre
Meet the Practice
Your First Visit
TMD/Head & Facial Pain
Sleep Disorders
Healthy Living
Request Appointment
Home
Your First Visit
Meet the Practice
Meet Dr. Klauer
Meet the Team
Technology
Careers
Testimonials
Patient Testimonials
Doctor Testimonials
Workshops
In The News
Blog
Contact Us
TMD/Head & Facial Pain
Sleep Disorders
Pediatrics
Sleep Disorders
Symptoms
Diagnosis
Treatment
TMD/Head & Facial Pain
Symptoms
Diagnosis
Treatment
Healthy Living
Clean Eating
Get Moving
Wellness Workshops
Wellness Workshop Survey
Sleep Hygiene
Blog
Patient Portal
New Patient Paperwork
Night Before Video
Why was I referred here?
Navigating Insurance
Educational Videos
How-To Clinical Videos
Frequently Asked Questions
Frequently Asked Questions About Treatment
Wellness Workshops
For Doctors
Articles
Continuing Education Workshops
Referring Patients
Contact Us
Request Appointment
Wellness Workshop Survey
I am most interested in my:
*
Structural / Physical Health
Emotional / Spiritual Health
Chemical / Nutritional Health
Please select 1
I spend _____ a week taking care of my Structural / Physical Health.
*
1-3 Hours
3-6 Hours
6 + Hours
This includes but not limited to cardiovascular exercise (walking/jogging/running), yoga, weight lifting, recreational sports (basketball, soccer) and physical therapy. Please select 1.
I am
*
Happy with the amount of time I dedicate to my Structural / Physical Health.
Would like to increase my time to my Structural / Physical Health.
Please select 1
I spend _____ a week taking care of my Emotional / Spiritual Health.
*
1-3 Hours
3-6 Hours
6 + Hours
This includes but not limited to worship, meditation, recreational reading, counseling and volunteering. Please select 1
I am
*
Happy with the amount of time I dedicate to my Emotional/ Spiritual Health.
Would like to increase my time to my Emotional/ Spiritual Health.
Please select 1
I spend _____ a week taking care of my Chemical / Nutritional Health.
*
1-3 Hours
3-6 Hours
6 + Hours
This includes but not limited to meal planning and prepping (healthy foods of course), nutritional research/counseling and related events. Please select 1.
I am
*
Happy with the amount of time I dedicate to my Chemical / Nutritional Health
Would like to increase my time to my Chemical / Nutritional Health.
Please select 1
I would most likely attend an event on the following topic:
*
Structural / Physical Health
Emotional / Spiritual Health
Chemical / Nutritional Health
Please select 1
I am also interested in learning more about Pediatric Sleep Disordered Breathing
*
Yes
No
Name
First
Last
Email
Go to Top
Pin It on Pinterest
BMI Conversion Chart
Weight (in pounds)
*
Height (feet)
*
Height (inches)
*
Your BMI
×