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Grace Pavilion Community Outreach

Free Dental Outreach

Join our Free Dental Outreach program for essential dental care. Download the Medical History Form and apply today!

Questions? Email community-outreach@gracepavilion.org

Free dental cleaning and extractions by Grace Pavilion Community Outreach and Encino Family Dentistry.

Eligibility Criteria

Download & Complete Medical History Form Provided Below

TO SUBMIT completed Medical History Form, please upload it to your application before submitting.

Medical History Form (pdf)

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