BreatheWorks/SpeechWorks Referral
Oromyofunctional Disorder Specialists, Speech-Language Pathologists, Lake Oswego/NE Portland/Camas WA/Eugene Locations, 971-346-0355 (office), 833-262-1495 (fax), info@breatheworks.com
Referring Provider
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Signs and Symptoms of Oromyofunctional Disorder
Malocclusion
Ankyloglossia (Tongue Tie)
Lip Tie
Mouth Breathing
Sleep Disordered Breathing
Narrow Posterior Airway Space
Disrupted Sleep
Grinding
Clenching
Abfractions
Cracked Teeth
Excessive Cavities
Poor Posture
TMD
Close Lock
Open Lock
Hx of Close Lock
Hx of Open Lock
Hx of Jaw Surgery
Strong Gag Reflex
Noxious Oral Habits
Prolonged Ortho
Relapsed Malocclusion
Low Tongue Resting Posture
Headaches
Pain in Neck/Shoulders/Back
Facial Pain
Trigeminal Neuralgia Symptoms
Swallowing Difficulties
Speech Sound Disorder
Voice Differences
Other Delays
Picky Eating Habits
Over Stuffing Food
Loud Eating
ADHD/ADD
Anxiety/Anxious
Sensory Processing Issues Suspected
Digestive Issues
Other
Clinic Referral:
Speech-Language Therapy
Oromyofunctional Therapy
Manual Therapy
TMD Specialty Clinic - Integrative Therapeutics, Medical/Dental/Behavioral Health
Current or Upcoming Treatment Plan
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Billing Information
BreatheWorks is in-network with most plans in CareOregon, Cigna, First Choice Health, Health Net, Moda Health, MultiPlan, PacificSource Commercial, PacificSource Community Solutions, Aetna, Regence Blue Cross Blue Shield, TriWest Healthcare Alliance (Tricare), Providence, and Trillium Health. Most other medical health plans BreatheWorks will submit claims for out of network coverage.
Contact
Thank you for your trust in our care. We strive for best practices and like to coordinate care and communicate efficiently with each patients care team. Please feel free to leave your preferred method of communication below.
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