Association‌ of‌ State‌ &‌ Territorial‌ Dental‌ Directors
3858‌ Cashill Blvd.,‌ Reno,‌ NV‌ ‌89509
Phone‌ 775-626-5008‌‌ Fax‌ 775-626-9268

ASTDD Basic Screening Survey Tool Order Form

Complete the online form below to purchase copy(s) of ASTDD's Basic Screening Survey Tool. Upon successful completion of this form you will be provided a link to download each of your purchases. This link will expire in 7 days.
This transaction is conducted in a secure manner. Your financial information will only be used for its intended purpose and will not be retained. Upon submitting this form a copy of your contact information will be shared with the dental director in your state or territory.
Item Price Quantity Subtotal
Basic Screening Survey for Children Planning and Implementation Tool 10.00 0.00
Basic Screening Survey for Children Planning and Implementation Tool Spanish Version 10.00 0.00
Basic Screening Survey for Older Adults Planning and Implementation Tool 10.00 0.00
Total
$0.00
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