Are you a candidate for a new smile?Please tell us a little about yourself.
After you complete this form, we will review and contact you as soon as possible.
General Requirements
To determine if a prospective patient is a good candidate for free dental implants, we will need some important information from you.
To qualify for free dental implants, you should be able to show that you cannot afford the cost of the procedure.
If you are a good prospect for a new smile, we will ask you to bring certain documentation to your initial consultation.
- Proof of Income
- Tax Returns
- Other Financial Documentation
New Smile Foundation Headquarters
We’re located in north Dallas, near highways 635 and 75.
Our Generous Sponsors
