1891 Hwy 40 E Suite 1105 Kingsland, GA 31548

Patient Resources

Welcome to the TMJ & Sleep Therapy Centre of South Georgia!
Moving beyond pain and reclaiming your life starts with truly listening and understanding what is really going on. Our goal is to provide clear answers, thoughtful solutions and a plan you can trust.

We come prepared and ready to engage and we invite you to join us as partners in this process. Healing is something we create together through teamwork, patience and commitment.

New Patient Forms

Save time waiting in our office by printing and completing the New Patient form at home, then bring the form with you to your appointment. Feel free to give us a call if you have any questions.
Download Forms

Financial Information

The cost of your treatment will vary depending on your individual needs and treatment plan. We will discuss with you the cost of your treatment and each of your available payment options before you begin, so that you can make the best choice for you.
OPTION 1
$100
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Purchase Plan

OPTION 2

$200

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Purchase Plan

OPTION 3

$300

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Purchase Plan

Self-Assessments & Screenings

TMD Questionnaire
Epworth Sleepiness Scale

TMD Questionnaire

Do you have difficulty in opening your mouth?

Do you have difficulty in moving or using your jaw?

Do you have tenderness or muscular pain when chewing?

Do you have frequent headaches?

Do you have neck aches or shoulder pain?

Do you have pain in or about the ears?

Are you aware of noises in the jaw joints?

Do you consider your bite “normal”?

Do you use only one side of your mouth when chewing?

Do you have morning facial pain?

Epworth Sleepiness Scale

Total Score: 0
Complete the questionnaire to see your result

This questionnaire was developed to determine the level of daytime sleepiness in individuals. It has become one of the most frequently used methods for determining a person’s average level of daytime sleepiness. You should review your responses with your doctor.

Please rate how likely you are to doze or fall asleep in the following situations by selecting the response that best applies. If you have not done some of these activities recently, select what would most likely happen if you were in that situation.

0
Would
never doze
1
Slight chance
of dozing
2
Moderate chance
of dozing
3
High chance
of dozing

Complete the Form to send your results over to Dr. Lassiter and his team!