If you are a Professional

Follow the steps below to apply. 

If you are a professional

  1. This portion of the process is for counselors, DHS caseworkers, coaches, advisors etc. 

  2. Complete your referral portion of the application. Download here.

  3. Give the rest of the application to the parent/guardian to complete with their child.

  4. If you are helping the family complete the form, send the application via mail or email to us.

  5. Text photo of the child’s natural smile along with their name to 541-497-0020.

  6. Upon receipt, we will contact both you and the child's guardian/parent.

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

  8. We then ask the 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. The guardian/parent will then receive the final decision.

  11. Treatment can begin if the child is 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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