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About Give Back a Smile

The 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. 

Application

Access the online application below. After an application is reviewed, the applicant will receive an email within 60 days regarding the status of their application. If approved and there is a volunteer available, the applicant will schedule a phone call with the Case Manager to continue.

Referral

After the call is completed, the applicant will be required to confirm they can reliably travel to the volunteer dentist's office through an online form. Then, the Case Manager will provide office contact information to the applicant so they can schedule a consultation appointment. 

Consultation

At the consultation appointment the volunteer dentist will assess the applicant's dental situation to see what, if any, treatment they are able to donate to restore the applicant's smile. If the volunteer dentist is able to donate the necessary services, they will continue with treatment.

Frequently Asked Questions

  • What treatments are provided?
    Test
  • Does this program provide grants?
    Our program works by matching our approved applicants with a volunteer dentist. The dentist volunteers their time and materials which is how we are able to provide the dental treatments. We do not provide grants.
  • Where are your dentists located?
    We have dentists throughout the United States. The availability changes daily. If your application is approved we will look for an available dentist in your area and provide you with their information.
  • Am I eligible?
    The best way to know if you are eligible is to read the guidelines! You can view the guidelines and a sample of the application here:
  • How do I know if you received my application?
    Once you have clicked the 'submit' button you should receive an automatic confirmation email letting you know that your application was submitted. If you do not receive this email check to make sure you clicked the 'submit' button by going to application.givebackasmile.com and entering the email you used to start your application.
  • How do I apply?
    Applications can only be completed online. Please apply through our site on the 'Apply' page or go to www.givebackasmile.com/apply.

Ready to Apply?

Before applying, please answer the below questions to help you determine if the program might be a good fit for you at this time. We find that the most successful participants are able to answer 'Yes' to all of the questions below. If you are not able to answer to 'Yes' to all of the questions, the program may not be a good fit at this time. We recommend carefully reviewing the sample application and full eligibility criteria to best determine if this program is able to help your specific dental situation.

I have reliable transportation or can reliably obtain transportation that can travel up to 200 miles
I am in a stable living situation and prepared to maintain any dental treatment I may receive.
I understand that all dental treatments are donated by the dentist and implants are not standard treatment for this program.
I am ready to devote time and energy towards going to dental appointments, such as taking time off work or finding childcare as needed.
I have fully reviewed the program’s eligibility requirements and feel I meet all criteria
Amy

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

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

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

OTHER RESOURCES

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

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