Registration
Thank You For Registering @ Smiles of Hope Dental Clinic
BEFORE COMPLETING THIS REGISTRATION PAGE; PLEASE BE AWARE YOU MAY HAVE A WAIT TO BE TREATED.
Smiles of Hope Dental Clinic can provide patients with a low-cost alternative for tooth extractions only.
Licensed dentists from all over the state come and volunteer as a part of our dental team.
Our licensed dentists ensure that every patient receives quality treatment.
The fee to register is $20 then on the day of the clinic; it's simply $10 per tooth extracted.
You may register on this page or through the mail.
Please call 573-621-2793 for any further details.
After you have registered you will be contacted with your appointment date.
Please Fill Out The Form Below
After you have filled out the form, please click the button below to pay your $20 registration fee.
Thank You!