Patient Forms

Michigan Head & Neck Institute understands that our patients want to have their office visit be as smooth as possible. To help this process, we have provided our patient forms online for you to download and complete before your visit.


1. Patients who have TMJ but not due to an injury - Download Form Here

2. Patients who have TMJ or Sleep Apnea due to an injury (auto related, worker’s comp, etc.) -  Download Form Here

3. Patients who have Sleep Apnea but not due to an injury – Download Form Here



Note: You will need Adobe Acrobat Reader to view these forms. Click here to download a free version of Acrobat Reader.

Copyright © 2009 Michigan Head and Neck Institute - 3665 E. 11 Mile Rd Warren, MI 48092 - Map & Directions
Michigan Head and Neck Institute treats Obstructive Sleep Apnea (OSA) and TMJ (Temporomandibular joint disorder) in Metro Detroit Michigan. Dr. Richard E. Klein is a TMJ Specialist, and Sleep Apnea Doctor in Michigan. The Michigan Head and Neck Institute treats patients suffering from Obstructive Sleep Apnea (OSA) and TMJ (Temporomandibular joint disorder) in Ann Arbor, Canton, Clinton, Dearborn, Detroit, Flint, Grand Rapids, Kalamazoo, Lansing, Livonia, Pontiac, Rochester Hills, Shelby, Southfield, Sterling Heights, Taylor, Troy, Warren, West Bloomfield, Westland, and all of Metro Detroit Michigan.