Northern Oklahoma Dental Associates Loves Giving Back to Our Community!

Here at North Oklahoma Dental Associates, we are very proud of our ability to contribute and to be of service to the community around us. If you are in need of a speaker, educational materials or other assistance with your event, please contact us using our Community Assistance form below. Once we receive your request, we will reach out to you to see how we can best help!

Community Assistance Request Form

Use the form below to request speakers, materials and other donations related to community events.

Assistance Request
Organization Address
Mailing Address
Address Line 2
City
State/Province
Zip/Postal
Country
Drop a file here or click to upload Choose File
Maximum upload size: 67.11MB
:
Location of Your Event
Street Address
Address Line 2
City
State/Province
Zip/Postal
Country
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Sending

Please note that e-mail is not a secure form of communication. Medical information placed here may not be confidential. Please use this form to send your contact information, and we will respond to your inquiry using a secure method. This form should not be used by children under the age of 18.