SUPPORT GBAS
CONTACT

800.543.9220


Give Back a Smile
402 West Wilson St
Madison, WI 53703

givebackasmile@aacd.com

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ABOUT

The American Academy of Cosmetic Dentistry (AACD) Charitable Foundation’s Give Back a Smile (GBAS) program connects adult survivors of domestic and/or sexual violence who’ve received dental injuries from the abuse with volunteer cosmetic dentists who donate their time and services to restore their smiles. Dental services are available throughout the United States. 

Since the program’s 1999 inception, more than 1,800 people have had their smiles restored through the Give Back a Smile program.

ELIGIBILITY 

  • Must meet with a domestic violence/sexual assault advocate, case manager, counselor, faith leader, therapist or doctor with experience in counseling survivors of domestic violence/sexual assault, at least once.
     

  • If approved for the program, dental services are free. However, upon application, one of the following must be fulfilled:
     

    • Contribute a $20 application fee paid by money order only, to the Give Back a Smile program

    • Or, complete 10 hours of community service before sending in your application.

APPLICATION REQUIREMENTS

  • Must meet with a domestic violence/sexual assault advocate, case manager, counselor, faith leader, therapist or doctor with experience in counseling survivors of domestic violence/sexual assault, at least once.
     

  • If approved for the program, dental services are free. However, upon application, one of the following must be fulfilled:
     

    • Contribute a $20 application fee paid by money order only, to the Give Back a Smile program

    • Or, complete 10 hours of community service before sending in your application.

HOW TO APPLY

  • Click here to download the Give Back a Smile application (PDF) or call 800.772.4227 to request an application be mailed to you.
     

  • Send your completed application to the Give Back a Smile office by:

    • Mailing to Give Back a Smile, 402 West Wilson St, Madison, WI 53703;

    • Faxing to 888.488.688 (Please do not fax application if including a money order.)
       

  • Give Back a Smile reviews applications first. Once we receive and review your application, you will be sent a letter letting you know if you initially qualify. By filling out an application, you are not guaranteed dental services.
     

  • If you initially qualify and there is an available volunteer dentist within 200 miles of your location, you will be referred to a volunteer dentist who makes the final decision of your eligibility. It’s your responsibility to call and schedule your consultation appointment with the volunteer dentist.
     

Other things to keep in mind:
 

  • The program does not guarantee implants or patient requested dental work.
     

  • This is a volunteer program and the dentist decides what kinds of dental work fits within the guidelines. You are not accepted into the program until the dentist sees you for a consultation.
     

  • Not showing up for appointments, or last-minute cancellations can result in disqualification from the program.

 

Amy

It was one of the most exciting experiences that I’ve ever had. I know people care now. They are angels. I got my confidence back. I’m able to smile again.

Cynthia

Now, I wake up everyday with a renewed sense of strength and purpose. Then a Smile spreads across my face that is so bright I feel like it could light up the whole world.

Lisa

It didn't just give me back my smile. It gave me back my life. It gave me the courage to go back out there and the self-esteem I needed to go back to work, take care of my daughter, and just live again.

OTHER RESOURCES

To request printed literature for a domestic violence and/or sexual assault agency, please email us.