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MyoBloom Forms provides all the paperwork needed to run and manage your patient
intake and consents.

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  • health history

  • pre-assessment guides

  • habit elimination

  • HIPAA

  • new patient info

  • informed consent contracts

  • practice policies

  • consent for telehealth + minor usage

  • records release

  • release consent for photos, reviews, etc...

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These forms can be customized to your needs with your practice information, policies and preferences, with the option to receive the forms as files or have them input into your software.

​​Patient Forms 

The MyoBloom Networking Bundle provides all the materials you need for collaboration and building connections:

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  • Referrals

  • Business cards

  • Brochures

  • Rack cards

  • Introduction letter

  • Patient self-assessment sheets

  • Chairside screening guide...

 

This bundle also includes a networking directory, featuring a list of provider types and key talking points on collaboration: such as services, reasons to refer to each other, and more.       

 

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See the individual Brochures option to purchase these separately: as-is, customized, or shipped to you

Networking Materials

MyoBloom can establish the basics of a professional website for myofunctional therapists. Clean, user-friendly sites are created on Wix by setting up themes and organizing essential sections, like:

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  • Landing page

  • Services

  • FAQs

  • About Me/Us

  • Contact forms

  • Reviews

 

These websites are intentionally simple and designed as a starting point—clients can customize them as they grow with their own content and details. This gets you started with an online presence to showcase your expertise and connect with your patients and providers.

Website Kickstart

The MyoBloom Therapy Bundle has all sheets, infographics and directions you need to supply your patients in therapy. It includes:

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  • Post-op frenectomy protocols

  • Pre-op directives and shopping list

  • Custom made session sheets

  • Photo guides (for virtual patients sending images)

  • Foundations (succeeding in therapy)

  • Nasal/sleep hygiene

  • Parent educational sheets

  • Habit elimination success guide

  • Certificates...

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This engaging and visually appealing collection of content will capture the interest of both you and your patients.

Therapy Materials

The popular MyoBloom Brochures are now available to purchase separately. These are a great way to communicate to providers and patients the details of how myofunctional therapy addresses OMD's, helps aid ortho treatment, is foundational for children, and can help address airway concerns during sleep. This four-pack of brochures includes:

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  • Myofunctional Therapy

  • Ortho

  • Pediatrics

  • Sleep Disordered Breathing

 

There are options to purchase these brochures as-is or have them customized with your practice logo and contact info.

Brochures

MyoBloom can create custom file bundles, packages or services. 

Please fill out the form below and indicate:

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  • What content you are looking for

  • If you want this content customized with your name, logo, practice info and preferences, etc.

  • If you need software customization as part of your order (patient form, note templates, etc.)

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If you need to purchase an existing order, find your order below, titled by your initials and order date.

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Custom Order

THE SUGGESTION BOX

Got an idea for content you need? Drop it in the Suggestion Box!

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If your idea compliments our content, we’ll create it—and you’ll get a copy for free or at a special discount. Help us expand our resources while getting exactly what you need!

a la carte order form
custom order request
custom order purchase

CUSTOM ORDER REQUEST

If you've already placed a custom order, please locate your package in the "Custom Order Purchase" box.

CUSTOM ORDER PURCHASE

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