Become A Referral Partner

referral partner for smiles change livesYour role as a general dentist is vital to letting more qualified children know about us! Smiles Change Lives (SCL) partners with dentists and dental clinics in all 50 states and Canada who are known as our SCL Referral Partners.

To sign up as an official SCL Referral Partner and receive your free gift, please fill out the following:

Thank you for partnering with us to brace kids in your community for a better future!

We need your help to treat more deserving kids in your community! If you have any patients that could benefit from our program, please refer them to our website to download and print an application or apply online directly.

Please do not print copies of the application to hand out to your patients. Our application and instructions change from time to time and this may lead to confusion and rejection of the application if it is not current. If you would like brochures to display in your office with general program information, please contact us at and we would be happy to provide these to you.


Do You Qualify For The SCL Program? Find Out Now