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Community Dental Resource Loan Request Form

Please note that resources being loaned will need to be collected and returned to the following address. Oral Health Promotion Department, Helmsley House, University Hospital of North Tees, Hardwick Road,Stockton on Tees, TS19 8PE.

Tel: 01642 383833
Email: [email protected]

Contact details of person requesting resources

Name(Required)
Address (including postcode)(Required)

Request overview

Request details

Please note that applications submitted with a date range exceeding two weeks will not be considered.
Date resources requested from(Required)
Date resources requested to (max request time is two weeks)(Required)
Resources Requested(Required)
A full list of items contained within each resource box can be seen on our A full list of items contained within each resource box can be seen on our resource loan catalogue.

Terms and conditions

  • Resources must be cleaned before returning
  • Resources may be loaned for up to two weeks dependent on availability
  • Lost or damaged items are chargeable
  • At times the contents of a resource box may change due to cross infection purposes
Terms and conditions(Required)
Consent(Required)
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