CLINICIANS REGISTER NOW TO RECEIVE YOUR USER NAME AND PASSWORD ALONG WITH YOUR FREE SCORINGS



Dentists, Physicians, Psychologists, "TMJ" and Pain Management Specialists and other licensed medical professionals

If you would like a Free Trial of the TMJ ScaleTM tests for use with your patients



Please Complete the form below


You will receive an email with your User Name and Password and instructions how to Log On to your new account and use your

two (2) Free TMJ Scale™ Scorings .

You can also register by calling 800-542-7246. We will not share your information with any 3rd parties.



Please allow up to 24 hours for your request to be processed.


Please provide all required information:



* required field.

First Name:                                   *

Last Name:                                    *

Clinical Degree-DDS, MD, PhD:  *

Specialty:                                       *

Clinical Practice:                           *

Address 1:                                      *

Address 2:                                      

City:                                               *

State:                                              *

Zip Code:                                       *

Country:                                         *

Your E-mail:                                  *

Telephone Number:                       *