Healthy Smiles from the Start Brochure Request
Healthy Smiles from the start is a prenatal and postnatal dental health care education program for mothers and caregivers of newborns. Brochures are available in English and Spanish. For more information on this program, you can visit the main page of our website and click on AADA programs.

If you are filling out this form for the first time, please click the New Submission button on the left.

If you are returning to edit or complete a previous submission, please fill out the email address and access code you set up previously and click Edit Submission.


First time submission




Edit existing submission
(fill out email address and access code to edit form)