Contact Us

Forms

 

   

Applying for Charitable Services:

To apply for our charitable services, please download the Initial Application form and return it to us in one of the following ways:

- Drop off at: 498 Harlow Rd, Suite 3, Springfield, OR 97477

- Fax to: 541-393-7003

- Email to: [email protected]

 

Volunteer Hours Voucher:

This voucher is to be used to record and track volunteer hours that are donated in exchange for our charitable dental services.


 

 

 

 

Initial Application for Services (MS Word)

 

 

 

 

Volunteer Hours Voucher (MS Word)

 
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Caring Hand to Mouth           498 Harlow Road, Suite 3, Springfield, OR 97477          541-393-7002