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Tooth Donation Form/Kit
How to Send Teeth
- If
not already clean, wash the teeth and let them dry.
- Wrap
each tooth in paper and cushion with tissue or something similar.
- Print
out the tooth donation form, fill it out, and send it with the teeth
to:
Radiation
and Public Health
PO Box 60
Unionville NY 10988
Do not worry if you do not have all the information requested
There is some information we need in all cases:
- Where
the mother lived when carrying the child.
- The
child's birthdate.
- Where
the child lived the first year after birth.
If you can supply us with this information, don't worry
about the rest if you do not know the answers.
Important: If you have a tooth or teeth from more
than one child, please fill out a separate form for each child and clearly
mark which teeth came from which child. We cannot use teeth from more
than one child when they are mixed together. Would you like
preprinted envelopes?
For envelopes with the teeth form pre-printed on them, email
us with your name,
address, and phone, and how many envelopes you need.
Or call our toll-free
number for more envelopes: 1-800-582-3716
* For more than 10 envelopes and Group Networking, contact
our National Coordinator Joseph Mangano.
Tooth
donation form
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