Maryland Foundation of Dentistry (MFD)
Maryland Foundation of Dentistry (MFD)
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  • Home
  • Donate
  • Application
  • About Us
  • Volunteer
  • Contact Us
  • ORAL CANCER AWARENESS
  • Partners and Sponsors
  • Patient FAQs
  • Support MFD on Amazon
  • MFD Stories
  • Join us
  • Donate Today

New Patient Application

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Mail:  Maryland Foundation of Dentistry (MFD) Donated Dental Services (DDS), 8901 Herrmann Drive, Columbia, MD 21045

       

   Fax: 1-410-964-9978    


Questions-410-964-1944

          

Application and cover letter 2020 9.9.2020 (doc)Download

Eligibility:

Dentists throughout the state of Maryland have volunteered to provide comprehensive dental care at no charge to people 18 years and older (including veterans), who, because of a serious disability and/or impaired mental and physical health, lack adequate income to pay for needed dental care. Dental services are provided free of charge to eligible individuals.  All patients admitted into the program must have transportation to the dental office and must keep all appointments.  We are not emergency services and if you are accepted into the program, services are once in a lifetime, so after completion of treatment, you cannot apply again.  Our program is unable to provide sedation services.

Dental benefits:

If you have private dental insurance you are not eligible for this program.

Application procedures:

Step One: Please complete, sign, and return the enclosed application. Please call us at 410-964-1944 if you have any changes in your information, so we can update your application. Due to program limitations, we have a several month waiting list in some counties. Please include a copy of your SSI/SSDI award letter with this application.


Step Two: When your application comes up for review, a patient care coordinator will call you to set up a phone interview and obtain additional information that will determine your eligibility for the program.


Step Three: If you are accepted, the patient care coordinator will send a referral with your information to a volunteer dentist.


Step Four: You will be contacted by the dentist’s office to schedule an appointment. It is very important that you do not miss any appointments or arrive late. Failure to keep appointments and be on time will result in termination from the program. 

Return application to:

Fax: 1-410-964-9978

 

Mail: Maryland Foundation of Dentistry (MFD), Donated Dental Services (DDS)

         8901 Herrmann Drive

         Columbia, MD 21045

Questions:

Please call 410-964-1944 if you have any questions and we would be more than happy to help!

PATIENT FAQS

who is eligible for services?

Dentists throughout the state of Maryland have volunteered to provide comprehensive dental care at no charge to people 18 years and older, who, because of a serious disability and/or impaired mental and physical health, lack adequate income to pay for needed dental care.  This also includes veterans.

if accepted what will I be charged?

Dental services and labs (if needed) are provided free of charge to eligible individuals.  

do you provide emergency services?

No, we do not provide emergency services.  

does MFD PROVIDE TRANSPORTATION?

All patients admitted into the program must have transportation to the dental office and must keep all appointments.  

Does MFD provide sedation services?

Donated Dental Services program is unable to provide sedation services. 

My information on my application has changed

Contact us at 410-964-1944 to update your information. 

Dental benefits

 If you have private dental insurance, you are not eligible for this program.

Can I reapply for services once my treatment has been completed?

If you are accepted into the program, services are once in a lifetime, so after completion of treatment you cannot apply again.

qUESTIONS??

If you have any questions, contact us at 410-964-1944.

Copyright © 2020 Maryland Foundation of Dentistry - All Rights Reserved.  The Maryland Foundation of Dentistry is a 501(c)(3) nonprofit organization.  

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Support the MFD Today

Your gift will help the Maryland Foundation of Dentistry's (MFD) Donated Dental Services (DDS) facilitate pro bono dental care to improve oral health, and maintain dental function for Maryland adults with intellectual, physical, and/or developmental disabilities who are unable to pay for their dental care.

Every dollar you donate turns into $7.11 in free dental care. Your donation is tax-deductible and your donation will help MFD continue to change lives now, and for years to come.


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