Forms
Adult and Child Consent Form For Partner Sites
If you are visiting us at one of our mobile partner sites, and are an adult or completing for your child, please complete this form. Consent
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
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