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/DEPARTMENT OF HEALTH Community Health Administration Senior Dental Services Program REQUEST FOR APPLICATIONS FO# CHASDSP5.3.24 SUBMISSION DEADLINE: TUESDAY, JUNE 18, 2024, BY 3:00 PMThe Department
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How to fill out senior dental services program

01
Gather necessary personal information, including your name, address, and contact details.
02
Provide relevant health history, including any current medications or dental conditions.
03
Indicate your financial situation to determine eligibility for assistance.
04
Select any specific dental services you require or wish to access through the program.
05
Submit the completed application form along with any supporting documentation as required.
06
Follow up with the program coordinator to ensure your application is processed.

Who needs senior dental services program?

01
Seniors aged 65 and older who require dental care due to age-related issues.
02
Individuals on fixed incomes who may struggle to afford dental services.
03
Those with chronic health conditions that impact oral health.
04
Seniors who have lost dental insurance and need access to affordable care.
05
Persons experiencing difficulty with basic dental hygiene or requiring specialized treatments.
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The senior dental services program is a health initiative that provides dental care and services specifically tailored for senior citizens, ensuring they receive the necessary oral health care.
Seniors eligible for the program, typically those of retirement age or who meet specific income requirements, are required to file for the senior dental services program.
To fill out the senior dental services program, applicants should obtain the necessary forms from the relevant health department, complete them accurately with personal information and income details, and submit them by the specified deadline.
The purpose of the senior dental services program is to enhance oral health among seniors by providing access to essential dental services that they may otherwise be unable to afford.
The information that must be reported includes the applicant's name, age, address, income level, and any previous dental services received.
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