Let’s work togetherLet’s get you paired! Please fill out the form below and we will be in touch shortly. Name * First Name Last Name Email * Phone (###) ### #### Preferred form of communication? * Phone Call Text Message Email Where are you located? * City and state What is your profession or licensure? * Dental Assistant Dental Hygienist Dentist Administrator Other What draws you to airway or sleep dentistry? * Current certifications in airway/sleep health: * Please list any certification or education you may have completed What are your professional goals for the next 3-5 years? * Describe your ideal practice culture: * What are the best times to contact you? * We have received your form and a member of our team will reach out to you with 24 hours with a response. Have a great day!