⚠️ EMERGENCY NOTICE: If you are experiencing severe facial swelling, difficulty breathing or swallowing, call 911 and seek immediate care
APPLICATION PROCESSING NOTICE: The Granite State Smiles Project Board of Directors reviews and scores all submitted applications on a monthly rolling basis. If your application is selected for a direct dental treatment grant, our Screening Committee will contact you directly using the email or phone number you provide in the form above. Due to high volume and limited funding, we are only able to reach out to selected individuals.
⚠️ EMERGENCY NOTICE: If you are experiencing a life-threatening medical emergency, severe facial swelling that impacts your breathing or swallowing, a high fever accompanied by severe oral pain, or heavy, uncontrollable bleeding, do not fill out this form. Please call 911 or go to the nearest hospital Emergency Room. Granite State Smiles Project cannot provide immediate crisis medical care.