If you are a Child 

Follow the steps below to apply. 

If you are a child

  1. Complete your portion of the application together with your parent or guardian. Download here 

  2. Talk to a professional who knows you (Counselor, DHS caseworker, coach, advisor) 

  3. They will complete their referral portion of the application 

  4. When completed, send the application via mail or email to a Smile for Kids 

  5. Text photo of your natural smile along with your name to 541-497-0020

  6. Upon receipt, we will contact both your guardian/parent and the referring professional 

  7. After a preliminary evaluation, we contact an orthodontist in your area

  8. We then ask your guardian/parent to schedule an appointment at no cost

  9. X-rays are sent back to us for final screening with 3 independent orthodontists

  10. You will then receive the final decision 

  11. Treatment can begin if you are approved. 


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Contact Us

If you have questions about applying or referring a child to the ASK program, please fill out the information below or call 541-497-0020.





446 SW 7th Street
Redmond, OR 97756


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