Application Review Process:

Please complete the application below. Make sure you explain your situation in detail  so the qualification committee members can fully understand the hardships you and  your family have encountered. Your information will be kept in confidence. When  your application has been received, you will be sent an email or letter telling you  that we have received your application. There is no guarantee that you will be  accepted for treatment at any time. 

Once we receive your application, it will be reviewed by our internal review  committee that typically includes an office staff member, dental hygienist and  dentist. All applications will be assessed for need, availability of providers to treat and the expected outcome of potential treatment. 

In some cases, you may be asked to come to our office for an assessment before  being accepted for treatment. Focused dentistry will be prioritized and the most  urgent needs will be addressed in 1-2 visits. If you are accepted for treatment, you  will receive a treatment plan with the expected number of visits needed.  Comprehensive dentistry and routine maintenance will continue to be the  responsibility of the patient.

Smiles for Heroes Application