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Frenectomy Application

Below is the application for a free frenectomy to be completed by Airway Health & Tongue Tie Center. We will only select one (1) applicant per quarter. Applicants should be aware that we have the right to use any photography, videography, etc taken during the frenectomy for promotional & educational material and/or social media platforms. Please print out, complete, and mail in the application to our address at:

Airway Health & Tongue Tie Center

3124 E 71st St, Suite 130, Tulsa, OK 74136

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