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    • Rajeev Agarwal, MD, FAAP
    • Wendi Carlton, MD, FAAP
    • Laurie B. Jones, MD, FAAP, IBCLC, FABM
    • Katie Neuer, DO, OMM
    • Penny Lee, DNP, FNP-C
    • Stephanie Poterack, FNP-C
    • April Vanderford, FNP
    • Tiffany Zook, DNP, CPNP-PC
    • Ramya Kumar, CCC-SLP, BCSS, CNT, IBCLC
    • Heather Evans, IBCLC, ISE
    • Davina Garcia, IBCLC, RN
    • Michelle Hottya, IBCLC, RLC
    • Sharon Olson, IBCLC, RLC
    • Mona Waheed, IBCLC, CLC
    • Michaela Zach, IBCLC
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    Appointment Forms

    Tongue/Lip Tie Forms

    0-12 Month Tongue/Lip Tie Consult
    0-12 Month Tongue/Lip Tie Consult
    0-12 Month Tongue/Lip Tie Follow-Up
    0-12 Month Tongue/Lip Tie Follow-Up
    1-2 Year Tongue/Lip Tie Consult
    1-2 Year Tongue/Lip Tie Consult
    1-2 Year Tongue/Lip Tie Follow-Up
    1-2 Year Tongue/Lip Tie Follow-Up
    2+ Year Tongue/Lip Tie Consult
    2+ Year Tongue/Lip Tie Consult
    2+ Year Tongue/Lip Tie Follow-Up
    2+ Year Tongue/Lip Tie Follow-Up

    OMM Forms

    Osteopathic Manual Medicine (OMM) Consent
    Osteopathic Manual Medicine (OMM) Consent
    OMM Aftercare
    OMM Aftercare
    0-12 Month OMM Consult
    0-12 Month OMM Consult
    0-12 Month OMM Aftercare
    0-12 Month OMM Aftercare

    Lactation Forms

    Lactation Form
    Lactation Form
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    Tongue Tie Kids is a wholly owned subsidiary of Agave Pediatrics

    © 2021 by Agave Pediatrics

    Main Office: 3575 W Deer Valley Rd, Glendale, Arizona, 85308

    Phone: (480) 585-5200

    Email: tonguetie@agavepediatrics.com 

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