A+ a-


Thank you for registering for the Maryland's Mouths Matter: Fluoride Varnish and Oral Health Screening Program for Kids—Training for EPSDT Medical Providers in Maryland curriculum. Please enter your information below. All fields marked with * are required:

Personal Information

First Name:*
Last Name:*
E-Mail Address:*
Primary Practice Name:
Primary Practice Address:*
Primary Practice City:*
Primary Practice State:*
Primary Practice Zip Code:*
Primary Practice Phone Number:
Primary Practice Fax Number:
Provider Type:*
Choose a Password:*
(between 3 - 15 characters; required to log-in)

Billing/Office Manager Contact Information

E-Mail Address:
Phone Number:


Difficulty registering? Contact us.


If you have already registered, Log In to check your progress and to continue taking the curriculum. Log In is case sensitive.

E-mail Address:


Forgot your password?
Difficulty logging in? Contact us.