Forms
School Program Dental Consent Form
Would you like to sign your child up for the school oral health program we have scheduled ? Please Click Here : School Dental Consent Form
Income Verification Form
Complete our income verification form to receive more information on our sliding scale fee schedule
Click Here: Application
Dental Treatment Informed Consent
Before we provide restorative care to you or your family member, we ask that you complete our consent form. Click Here: Consent
Dental Extraction Informed Consent
Before we provide dental extractions to you or your family member, we ask that you complete our consent form. Click Here: Extraction Consent
Volunteer Sign-Up Form
We would love to hear from you with any interest in volunteering to make Maine Oral Health & Wellness more impactful and successful. Click Here: Volunteer