Sustainable Development in Dentistry
DRNA and SDI present...
Our Sustainable Development in Dentistry Program is designed to support and recognize dentists and their practices that are engaging in activities that support the greater mission of sustainable waste recycling within the industry.
Take a moment to fill out this questionnaire to apply to be a part of our program. All dental offices approved will receive a Sustainable Development Certificate, a Sustainable Development badge to display on their website, and a spot on the DRNA website with a link-back to your practice. We love supporting dental practices that go above and beyond to follow Sustainable Development guidelines and requirements. Together we can make a difference in our communities and industry!
What is your full name?
First Name
Last Name
What is your email address?
example@example.com
What is the name of your practice/business?
I hereby agree with the following statements and can provide proof of items A through D. Please select all that apply. If you are missing some of these items and would like to purchase them through DRNA, please visit our website at www.drna.com or contact us at 1-800-360-1001.
A. My practice properly disposes of medical waste/sharps in accordance with EPA regulations.
B. My practice recycles chairside amalgam waste in accordance with EPA regulations.
C. My practice has an amalgam separator in place.
D. My practice has an OSHA compliance program in place.
E. I believe in Sustainable Development and Responsible Waste Management Recycling.
In order to obtain proof of your responses, please provide the name, title, email and phone number of your designated representative.
Representative Name
Email
Representative Email
Phone Number
Representative Phone Number
Format: (000) 000-0000.
Where do you currently purchase your waste management/dental recycling products/services? Please provide the name of the company.
If you would like to be a part of our website link-back program, please provide your permission to do so below. Your response does not affect your acceptance into the program.
I accept
I don't accept
Please provide a link to your website
Only needed if you wish to participate in our link-back program.
Thank you for your application and your commitment to Sustainable Development in Dentistry in your community and the dental industry.
Our team will reach out to you shortly with the status of your application.
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