Please read through the patient eligibility requirements prior to applying.
Applications are accepted through mail only.
You can download and print the application below or contact us to have it mailed or faxed to you.
Applicants must complete each page of the application and include proof of income.
Please mail all completed applications to:
Eastern Oklahoma Donated Dental Services
7060 S Yale Ave, Ste 707
Tulsa, OK 74136