Become SCL Provider

Changing Lives One Smile At A Time

We appreciate your interest in becoming a part of our SCL Family as an official SCL Provider!

The process is easy! We ask each provider to review and sign a Provider Agreement, which outlines what you can expect from your participation in Smiles Change Lives. You can choose to complete this process online or download a PDF copy to sign and return by fax or email. We also require a copy of your professional license and a current certificate of insurance.

Once you have submitted all of the required paperwork, you can expect to hear from us requesting a time to schedule your New Provider Orientation. This orientation is conducted over the phone and is an opportunity for us to better familiarize you with program and answer any questions that you or your staff may have.

Thank you again for joining us in bracing kids in your community for a better future!

smiles change lives partner application



Do You Qualify For The SCL Program? Find Out Now