Do you Qualify? 

Smiles Change Lives accepts applications from children/families who meet the following qualifications:    

• Be 10-18 years of age;
• Have no more than four (4) baby teeth;
• Have "good" dental hygiene (as certified by the child's general dentist);
• Have no unfilled cavities;
• Not be wearing braces currently;
• Have a total household income at or below 200% of the Federal Poverty Level. Visit our financial qualifications page to learn more about this qualification.
• Be willing to pay the $30 application fee and the $600 program administration fee (per child)*.

Questions? Check out our FAQ's.

Check the current waiting period in your area.

NOTE: All applications received will be subject to the most current fee structure regardless of the fees specified on the application submitted. Download a current application by clicking the button above.

Current Fee Structure:

• $30 Application Fee
• $600 Program Fee

*Do you live in Coffey, Lyon or Osage County in Kansas? Please visit our Jones Foundation page to download an application for braces.