Apply for Services of Elementary Program

Smile Partners Elementary program fulfills the state and federal Elementary dental screening requirements and reaches children in schools with early intervention and prevention. Our services are provided at NO COST to the schools or families, we are primarily reimbursed by Medicaid. 

To become a Smile Partners Elementary-school, please use the form below or contact our Elementary program manager, Gabriela Castellanos (gabrielac@smilepartners.org).  We look forward to connecting with you. 

 

Services Form

 

Name *
Name
Address *
Address
Phone number *
Phone number
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please include student population