Patients

Get the smile you deserve.

Patient Eligibility

1. All applicants must be a low-income household and meet the current Federal Poverty Guidelines with no other means of paying for dental care.

 

2. Applicants must live in the following participating counties and/or the (918) and (539) area code regions:

Adair, Cherokee, Craig, Creek, Delaware, Haskell, Latimer, Leflore, Lincoln, Mayes, McIntosh, Muskogee, Nowata, Okfuskee, Okmulgee, Osage, Ottawa, Pawnee, Payne, Pittsburg, Pushmataha, Rogers, Sequoyah, Tulsa, Wagoner, Washington

 

3. Applicants must meet at least one of the following program requirements:

  • 65 years and older

  • Receiving a Social Security Administration Check (SS, SSD, SSI)

  • Referral from one of our partnering agencies (a formal letter from the case manager/social worker is required)

 

Medical Access Programs, Veteran’s Services, Women in Recovery, Family and Children’s Services, Homeless Shelters/Programs, Mental and Behavioral Health Services

Apply Now

  1. Applications are accepted through mail only.

  2. You can download and print the application below or contact us to have it mailed or faxed to you.

  3. Applicants must complete each page of the application and include proof of income.

PLEASE MAIL ALL COMPLETED APPLICATIONS TO:

Eastern Oklahoma Donated Dental Services
9810 E 42nd St, Suite 210
Tulsa, OK 74146