• 332 University Park Dr, Regina, SK S4V 0Y8 CA

TMJ Questionnaire

TMJ Questionnaire | Health Style Dental | Regina Dentist

Are you suffering with TMJ pain? Please fill out the form below and we will follow up with you to address your issues with some helpful insights. 

Part 1: Your Contact Information

Please provide us with the following information so we can follow-up with you within 48-hours.

Part 2: TMJ Symptoms

(306) 789-2330

Open Modal