Klooster General Contact

Name*

First NameLast Name

Email*

example@example.com

Mobile Phone Number*

Please enter a valid phone number.

Do you wear a complete upper or lower denture?*

YesNo

Thank you for your interest in oral appliance therapy from Klooster Family Dentistry, but patients who wear complete dentures are not a fit for this treatment.

Please consult your physician to find the best option to treat your sleep apnea with dentures.

Please answer the following questions by checking if the answer is YES.*

Do you snore?Do you often feel tired, fatigued, or sleepy during daytime?Has anyone observed that you stop breathing or choke or gasp during your sleep?Do you currently use a CPAP machine?Do you have medical insurance?

What was the date of your last sleep test?

What is your AHI? (if you know it)

Anything else we should know?

Choose a date below to schedule a FREE 15 min call back appointment. We will call you at the time you choose below and answer any questions you have!*