Forms
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