Some will do it remotely or telehealth. There’s just more instruction involved about how to utilize it properly in infants and exercises you can do to improve the connection between the brain and mouth/airway. I would highly recommend an in-person appointment if possible because most offices that carry these are trained in diagnosing and treating myofunctional/airway development issues that may not be treatable with just a Myomunchee and would be a great resource for you