Smiles in a Box Programadmin2020-02-08T07:34:32+00:00

Help Us Help Veterans!

Dear Doctor,

Thank you for participating in the Smiles in a Box Veterans Program! Your time is greatly appreciated. In order to evaluate this programs impact, we ask that you fill out the following form at each veteran’s office visit.

Number of teeth
Degree of plaque
Severity of gingival inflammation
Number of 4mm pockets or greater
Estimated number of sites with bleeding upon probing (BOP)

Please visit https://forms.gle/RWxQRnfr9y3xBTMW6 to complete.