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Forms

FormsBrew City Marketing2022-06-28T18:50:27+00:00

Enrollment Forms:

Bridging Brighter Smiles Enrollment Form – English
Bridging Brighter Smiles Formulario De Matriculación – Español
Bridging Brighter Smiles Enrollment Form – Hmoob

Silver Diamine Consent Forms:

Bridging Brighter Smiles SDF Consent Form – English
Bridging Brighter Smiles Formulario de Consentimiento – Español
Bridging Brighter Smiles SDF Ntawv Tso Cai – Hmoob

Notice of Privacy Practices:

Notice of Privacy Practices – English
Aviso de Prácticas de Privacidad – Español
Lus Qhia Txog Kev Tsis Pub Lwm Tus Paub Tej Kev Xyaum – Hmoob

4K Registration:

English
Spanish

PLEASE FEEL FREE TO CONTACT US BY FILLING OUT THE FORM BELOW OR CONTACTING US DIRECTLY:

ABOUT US

Welcome to Bridging Brighter Smiles, Inc., a 501(c)(3) non-profit organization founded in January of 2012. Our vision is to create a community where every child is given the opportunity to receive preventative oral care.

DONATE

Thank you for your interest in supporting our program by considering making a financial donation. To do so, please call 262-896-9891

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CONTACT INFO

Bridging Brighter Smiles, Inc.

  • 711 W Moreland Bllvd. Suite 204
    Waukesha, WI 53188
  • 262-896-9891
  • 262-347-4449

Christine Wolff

  • Executive Director
  • [email protected]

Hayley Gibbon, RDH

  • Hygiene Director
  • [email protected]

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