NHTI Dental Hygiene Clinic

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During the school year, NHTI senior dental hygiene students will be providing free teeth cleanings, oral health education, and fluoride treatments for children attending Merrimack Valley High School. NHTI faculty will supervise senior dental hygiene students, while providing dental hygiene services to MVHS students. Our dental clinic will be located in the MVHS Health Office. The clinic will be open on Fridays throughout the school year. Parents/Guardian MUST complete a permission form each school year.

Please complete this form to grant permission for your child to participate in the dental hygiene clinic.

Parent/Guardian Last Name *

Parent/Guardian First Name *

Please provide the best phone number to reach you. Ex: (603)555-5555 *

Please provide the best email address to reach you *

Mailing Address *

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