About Us | Contact Us | En Español COMMUNITY PARTNERS Back to the Home Page Register to Become a Partner Access / Order Resources Request Oral Health Training Refer a Client Login Community Partner Registration Please note, this registration is for community-based organizations and oral healthcare partners only. If you are a HUSKY/MEDICAID or COVERED CT member and you have questions, you can register to email us on our secure server here or call: 855-CT-DENTAL (855-283-3682). Organization:  * First Name:  * Middle Name: Last Name:  * Suffix: Address 1:  * Address 2: City:  * State: Choose--> Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming  * Zip Code:  * Phone: Work Home Mobile Other       *   Ext (if any): Fax: Role Within Organization:  * Email Address:  * Verify Email Address:  *   Please create a password for your account. Once your registration has been approved, you will be able to use your email address and password to login. Password:  *    8-20 characters; no special characters Verify Password:  *       Play Security Image Audio File   Please enter the numbers that you see in the security image shown above:         * required field © 2023 The Connecticut Dental Health Partnership. All Rights Reserved.  About Us | Contact Us