Dental Hygiene Clinic Waitlist Signup

This is the number we will use to contact you if you are selected for an appointment.
Please select the date of your most recent dental cleaning. If you are unsure, please approximate as closely as possible.
Provide the days and times you are generally available. Please be prepared to commit to as many four-hour appointments as your care requires. Every step of the process is checked by a dentist or instructor, so patients typically require one to five visits.