Sliding Scale Fee Program

At Caring Smiles we try to make quality dental care available for everyone. If you do not have dental insurance, you may qualify for a discount on dental services based on your income level.  This program is income dependent and only available to those without dental insurance coverage.

In order for us to make a determination on your eligibility for our sliding scale fee program, please complete this form and return it to our office staff.

2016 Sliding Scale Fee Application