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Dental Grants Program

Dental Grants
Program

Dental Grants for Implants, Basic & Cosmetic Dentistry Procedures

SPECIAL-CASE PROGRAM

Apply for a $1,300 Dental Grant
State/Prov:
Please identify the procedure(s) or treatment(s) you wish to discuss with a dentist. Check all that Apply: (Required)
Dropdown
Dropdown
Do You Have Dental Coverage? (Check all that apply)(Required)
Are you currently experiencing any pain?
YES
NO

Responses to the following questions will help us understand your unique situation and determine eligibility for the grant. We aim to ensure that the funds are awarded to those who need them the most. Please be as detailed and honest as possible in your answers, as this will help us better assess your needs. All information provided will be kept confidential.

To help us make a greater impact, we invite you to contribute to the community you’re now about to become a part of.

If you’re able, you can help others while you’re here. See the options below.
$2 / month — A small contribution that adds up
$5 / month — Helps expand access to care
$10 / month — Makes a meaningful impact each month
$25 / month — For those who are able to provide additional support
Not right now — please ask me again later

You can choose to donate any amount per month. There is no obligation to contribute, and your decision does not affect your application.

Important: After submitting this form, please remain on this page. Your confirmation will display here along with important next steps and program options.

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