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Thank You

Your form has been successfully submitted.

Thank you for filling out your Healthy Behaviors Rewards Form. If you qualify, you can expect your reward within 12-14 weeks.

If you checked the box for the Oral Health Risk Screening Gift Card, you need to complete the Oral Health Risk Assessment to claim your reward. Use the link below to complete the assessment. If you do not complete the assessment, you will not get your Oral Health Risk Gift Card.

Oral Health Risk Assessment

If you checked the box for the Opioid Use Assessment and Education Following Tooth Extraction Gift Card, you need to complete the Opioid Use Assessment to claim your reward. Use the link below to complete the assessment. If you do not complete the assessment, you will not get your Opioid Use Assessment and Education Following Tooth Extraction Gift Card.

Opioid Use Assessment 

Preventistry Pulse

PREVENTISTRY PULSE

A newsletter with tips and information to improve your oral health.