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On The Spot OMT

When to Refer to OMT

Quick Reference Guide for Healthcare Providers

How to use this guide: If your patient presents with 2 or more signs from any category below, they may benefit from an orofacial myofunctional evaluation. Use the checkboxes to screen patients during visits. Refer using our online referral pad — it takes under 30 seconds.

Dental & Orthodontic

Orthodontists • Dentists • Oral Surgeons

  • Tongue thrust or reverse swallow pattern
  • Open bite, overjet, or crossbite relapse
  • Low tongue rest posture (tongue on floor of mouth)
  • Mouth breathing during appointments
  • Pre- or post-frenectomy (tongue/lip tie)
  • Teeth grinding or clenching (bruxism)
Speech & Feeding

SLPs • Lactation Consultants • Feeding Therapists

  • Articulation errors persisting despite therapy (/s/, /z/, /l/, /t/, /d/)
  • Tongue thrust affecting speech clarity
  • Shallow latch, clicking, or poor milk transfer (infants)
  • Picky eating, gagging, or texture aversion
  • Chronic drooling beyond age 3
  • Open mouth posture at rest
Medical & Pediatric

Pediatricians • ENTs • Allergists

  • Chronic mouth breathing or nasal congestion
  • Snoring, restless sleep, or sleep-disordered breathing
  • Enlarged tonsils/adenoids with oral posture concerns
  • ADHD-like symptoms linked to poor sleep quality
  • Recurrent ear infections with swallowing dysfunction
  • Failure to thrive with feeding difficulties
Bodywork & Rehabilitation

Chiropractors • PTs • OTs • Craniosacral Therapists

  • Forward head posture that won't correct
  • Chronic neck/shoulder tension with no structural cause
  • TMJ pain or jaw dysfunction
  • Adjustments that don't hold between visits
  • Restricted cranial mobility with oral component
  • Sensory processing issues with oral motor involvement

Ready to refer?

Submit a referral in 30 seconds at onthespotomt.com/referral-pad

Phone: (303) 759-2760Email: info@onthespotomt.comProvider Info: onthespotomt.com/for-providers

"We don't replace your work — we support it. OMT retrains the muscle patterns that make your treatment results hold."

© 2026 On The Spot Orofacial Myofunctional Therapy • Khrisi Valdez, Orofacial Myofunctional Therapist

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