Rehoboth Life Care Ministry Volunteer Dental Clinic

SERVICES WE PROVIDE
Dental Services
    Tooth Extractions for adults and children
    Tooth Fillings for adults and children
    Dental Hygiene
    Acute problem visits
    Dental impressions and Dentures
Counseling
    Services area available to individuals, families, adults, and children
    Biblically based counseling services are offered
Health Education
    Dental Hygiene
    Dental Sealants
    Nutrition counseling
    Education is offered one-on-one
Social Services
    We provide contact information to appropriate social services agencies for patients needing additional assistance.
The clinic is open for Financial Screenings on the 1st and 3rd Tuesday of every month between 9am-12noon.  Appointments are necessary.  Please call for an appointment as well as a list of items to bring to your appointment so that you may prove your HOUSEHOLD INCOME, such as:
Patient  Information  (or Patient’s Father-if child):      
If you are employed, bring:           
    Last 3 Paycheck Stubs
    Last 3 months of Bank Statements
    W-2 VERIFICATION/1099
    Copy of Tax Return
If you are not employed, bring:
    Proof of Social Security or Disability Benefits
    Proof of Government Assistance
    Unemployment Letter
    Application Inquiry Form (Dept. of Labor)
    Separation Notice  
Spouse's Information  (or  Patient’s Mother- if child) :
If you are employed, bring:           
    Last 3 Paycheck Stubs
    Last 3 months of Bank Statements
    W-2 VERIFICATION/1099
    Copy of Tax Return                    
If you are not employed, bring:
    Proof of Social Security or Disability Benefits
    Proof of Government Assistance
    Unemployment Letter
    Separation Notice      
*Patients with no income, require an official document such as: a Non-Filers statement from the IRS, income Tax return, a statement from the unemployment office, a termination letter from a recent employer, or verification of benefits from the DFACS office.
Must have: Picture ID _____    Utility Bill_________                 
OTHER WAGES or applicable documentation: (child support income, alimony, stimulus funds, food stamps, rental income, royalties, interest dividends, insurance payments, self-employment, workers compensation, retirement benefits, pensions, unemployment ,training stipends, scholarships, military allotments, AFDC, TANF, SSI, etc.)
Anyone providing false information will be terminated from the program.
Patients not providing necessary documentation will not be eligible for services.
Our policy requires that income information must be updated and verified at least once a year.
Patients requiring dental procedures will be scheduled an appointment as the volunteer dentist and staff becomes available. Usually patients will be seen on days in which dentists will volunteer their time, more commonly, on Mondays or Fridays.
To schedule an appointment call:
478-953-7770
Staff Hours:  Monday-Friday 9am -4pm