Smile, It's Healthy! Financial Hardship Grant Application OR Self Pay link
Your school dentist Smile, It's Healthy! will be at Westridge Elementary Monday, October 22nd!

Smile, It's Healthy! offers a Financial Hardship Grant for those who make $35,000 or less annually. Please fill out the application below to qualify for our Financial Hardship Grant. In addition to this application, you'll also need to visit our website and complete the permission form online. If you're approved, your child will receive preventative services including an exam with a dentist, x-ray, fluoride varnish, and prophylaxis cleaning. 

To sign up your student now visit: www.smileitshealthy.org/sign-up

If your annual income is above $35,000 - we have an affordable discounted selfpay option of $60 for preventative services that include an exam, xrays, cleaning, and fluoride varnish. You can pay here: https://goo.gl/X2NZNd
You do not need to fill out this application if you choose the selfpay option - simply fill out the permission form.

Smile, It's Healthy! also accepts Medicaid and Private Insurance so you do not need to fill out this application if your child has Medicaid or Private Insurance coverage: Simply submit the permission form online along with the Medicaid/Private Insurance card information.

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