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Dental financial assistance application
Need to start a new application?
New application
You can apply for financial assistance or re-apply because your previous financial assistance has expired.
Ready to complete your saved application?
You can go back to your saved application and continue where you left off.
Completed your application?
Do you need to give us more information?
You can submit additional information because we contacted you about including additional information.
Did you apply and want to appeal the decision?
Appeal application
If your application was recently denied or you believe you qualify for a larger award, you can appeal the decision.