top of page

Apply for dental care through San Juan County Health and Community Services.

Please Consider the Acknowledgement Below

ACKNOWLEGDMENT OF FINANCIAL HARDSHIP

I understand the dental services offered are for those who cannot otherwise afford dental care.  I attest that the financial hardship of paying for such services would prevent me from receiving them.  I further attest I have limited discretionary income, am on Apple Health/Medicaid or have no dental insurance, and no other financial means to pay for dental services at this time.

and then Click Link Below
bottom of page