Self Referral Form

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Self Referral Form

Welcome to the Self Referral Form.

If you have one or more of the following problems (see page 4) you can refer yourself (or your dependant) to Myofunctional Therapy UK for an initial discussion.

Alternatively, you can email us a referral letter to info@myofunctionaltherapy.co.uk

To book an appointment please call +44 (0)7956 209 499

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