For Free Services
Dear Parent or Guardian,
Sarah St. John, RDHAP, has arranged for dental services for eligible children. These services may include a screening, cleaning, fluoride treatments, and sealants (a protective coating on the chewing surfaces of back of teeth). To perform these services licensed dental hygienists (in an alternative practice) and assistants will come to your child’s school with portable equipment. In order for your child to receive these services, you must provide all the information requested below and sign in the area indicated.

Below, this QR code will bring you to a DocuSign document that upon successful completion and submission will sign up you student for our services the next time we are at your school. PROVIDE THE FOLLOWING INFORMATION ONLY IF YOU WANT THESE DENTAL SERVICES.
Sign Up Your Student Today!
Hello Parents,
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While we are always trying to find new partnerships, we may not be in your district yet. Whether we have a presence in your district yet or not, submit a contact form and we will help you with whatever you may need.


