Canada Dental Care Plan | Enrollment Assistance

Dental Grants for Implants,
Basic & Cosmetic Dentistry
Procedures

Dental Grants
Program

Upfront Grants, to a Maximum of 30%, for Basic & Cosmetic Dentistry Procedures

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Canada Dental Care Plan
Registration Help

Helping You Access the Canada Dental Care Plan, Step by Step and Free of Charge

Complete the form to receive assistance:

Dedicated to helping Canadians access the Canada Dental Care Plan by assisting eligible patients with free registration, which includes 2024 tax filing, if needed.

First name*

Last name*

Address*

City:*

State*

Postal Code*

Email*

Phone*

Please identify the procedure(s) or treatment(s) you wish to discuss with a dentist. (Consultation is free)

Check all that Apply:*

Veneers

Braces (Metal)

Dentures (Any kind)

Implant(s)

Bridge/Crown

Clear Aligners (Invisalign®)

Cavities / Extractions

Chipped / Broken teeth

Pain / Discomfort

Other/Unknown

Check all that Apply*

Dropdown*

Do You Have Dental Coverage? (Check all that apply)*

Medicare

Medicaid

PPO

HMO

No Insurance / Don't Know

Other

Are you currently experiencing any pain?

YES

What is the main concern you have about your teeth?*

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