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Healthy Behaviors Incentive Form

To get your gift card you must:

  • Receive one of the qualifying services below within the first 90 days of signing up with DentaQuest.
  • Complete and submit this form.

Check the qualifying service(s) you received:

Members ages 6-14 years
Members ages 21 years and older

Member Information

Your SoonerSelect Member ID number is the 9- or 10-digit number on the front of your card

Last modified on November 1, 2023

Preventistry Pulse


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