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SCHEDULE YOUR SCHOOL!
SCHEDULE YOUR SCHOOL!
SIGN-UP YOUR CHILD!
SIGN-UP YOUR CHILD!
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Forms

Download the School Smiles Registration Forms below.

A new/updated form must be completed every school year for each child enrolling for the program.

Registration Form - English
Registration Form - Spanish
Registration Form - Burmese
Registration Form - Hakha (Chin)
Registration Form - Somali
Registration Form - French
Registration Form - Nepali
Registration Form - Arabic
Registration Form - Swahili
Registration Form - Uzbek
HIPAA - Haitian Creole
HIPAA - All Languages
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DID YOU KNOW

An estimated 51 million school hours per year are lost because of dental health issues/problems.

Helping to reduce the number of hours a child is out the classroom!

Our program has a less than 4% referral rate to another dentist because WE return to the school and provide the follow up care needed, including fillings!!

Enroll Your Child
Schedule Your School
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OUR PARTNERS
Johnson County
Oral-B
Crest
Delta Dental
ADA
Brighter Future

1499 Windhorst Way, Suite 100 | Greenwood, Indiana 46143
E-mail: contactus@schoolsmiles.com

Toll Free: 1-855-49SMILE

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