Dental Services

• Fill out the online assessment form to see if you qualify for medical assistance
• If the assessment is successfully completed, you will receive a download link for the full application

Orthodontics

• Download Application
• Administered through Smiles Changes Lives (SLC). Follow SLC’s instructions to print and mail your application.

General Medical

• Fill out the online assessment form to see if you qualify for medical assistance
• If the assessment is successfully completed, you will receive a download link for the full application

Eye Exams and Glasses

• Download Application
• Fill out, print, and return to the Jones Foundation.