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Lab Fee Reimbursement Form (PDF)

Volunteer Application for Dentists (PDF)

The Dental Affinity Program needs the help of local dentists willing to donate their time to provide pro bono dental care to low-income Santa Cruz County adults without health insurance. Dental volunteers have the option to accept referral calls only when it is convenient for them and their staff.  Care will be taken to rotate referrals among all volunteer dentists to ensure that no individual provider is overburdened. The Dental Affinity Program will be publicized through various media outlets and participating volunteers will be recognized publicly for their generous in-kind contributions.

Dentists interested in learning more about volunteer opportunities with the Dental Affinity Program should contact the Health Trust at 761-5695. Potential volunteers can also complete the downloadable volunteer application (PDF).