Community Health

At APD, we believe caring for our community is a special responsibility that we are honored to fulfill. In addition to initiatives to deliver affordable care to our uninsured and underinsured patients through our Financial Assistance programs, our department reaches out to area residents of all ages through a wide variety of programs and services.

Our Goal

Our goal is to improve the health of residents living in the APD service area. To achieve this, we work in partnership with local and state agencies (including but not limited to school districts, the NH Division of Health and Human Services, NH Oral Health Coalition, the Public Health Council of the Upper Valley, and the Vermont Department of Health)  to increase access to medical and oral health services, particularly for the underserved.

Free Community Programs

We offer free programs and services in response to demonstrated community need. These include but are not limited to:

  • Increasing access to medical and dental care for the underinsured and uninsured
  • Assisting families/individuals with enrollment in NH Children's Medicaid,  Dr. Dynasaur, the NH Health Protection Program and other state/federal health programs
  • Providing cash support to the Good Neighbor Health Clinic and the Grafton County Senior Citizens Transportation initiative
  • Offering flu vaccinations to community residents
  • Serving as a liaison with the Lebanon School District Health Services staff and coordinating the annual Upper Valley School Nurse Workshop
  • Providing vouchers to uninsured residents for emergency prescription assistance, and assisting low-income patients in accessing free medications through prescription assistance programs
  • Offering subsidized health education programs and meeting space for non profit groups
  • Providing health professions education to medical, nursing and allied health students.

“Upper Valley Smiles,” A Free Dental Health Program for School Kids

APD's Community Health Department offers a unique program in the region called, “Upper Valley Smiles.” This school-based oral health program is for children enrolled in Lebanon, Enfield, Canaan, Hartford, and Hartland elementary schools and in the Richards School in Newport. The APD dental team visits each school annually, providing classroom education, dental screenings, fluoride varnish, decay-stopping varnish and sealant applications, all at little-to-no cost to parents. In our NH schools, Certified Public Health Dental Hygienist Mary Davis also delivers temporary fillings. 

Oral Health AmericaUpper Valley Smiles receives generous support of donated product from the Oral Health America’s Smiles Across America® initiative and volunteer support from our two supervising dentists, Dr. Patrick Noble and Dr. Tara Symancyk.

Upper Valley Smiles also benefits from broad-ranging community support. The Northeast Delta Dental Foundation provides grant funding for the program, most recently awarding Upper Valley Smiles $4,472 in 2015 to expand the program to the Ottaquechee School in Vermont.  In 2015, the Healthy New Hampshire Foundation awarded Upper Valley Smiles a $19,000 grant to sustain the program at the Richards School for two years, and in 2016, Granite United Way awarded a $20,000 grant to support expanding the program in two ways: by including preschoolers at participating schools and by providing interim therapeutic restorations. A 2016 grant from the Dartmouth-Hitchcock Office of Community Health Improvement subsidizes the care coordination (referral of children to private dentists for restorative treatment) that is an integral part of the program.
Read more about Upper Valley Smiles in the Lebanon Times.                                                                                

Community Benefits Reports

Each year, APD is required to submit a report to the State of New Hampshire to give an account of its community health mission and financial activity.