Serve a Veteran Pledge Form

Serve a Veteran Pledge Form

Sign this pledge to commit to providing free dental services for veterans this year during Veterans Day week, November 10 - 16.
Join the Mission: Honor Our Veterans with the Care They Deserve

As dental professionals, we have the unique opportunity to give back to those who have given so much for our country. This Veterans Week, the Dental Trade Alliance Foundation invites you to join a nationwide effort to provide free dental care to our veterans.

Why Participate?
- Honor Their Service: Our veterans have sacrificed for our freedom. By offering them the gift of oral health, we can show our gratitude in a tangible, meaningful way.
- Make a Lasting Impact: Many veterans face challenges accessing dental care. Your expertise can improve their quality of life, boost their confidence, and help them maintain overall health.
- Be Part of a Nationwide Movement: When you participate, you're not just helping one veteran; you're joining a community of dentists across the country united in this important cause.
How It Works
- Commit to the Cause: Pledge to provide free dental care to veterans during Veterans Week.
- Spread the Word: Let your patients and community know about your participation. We’ll provide you with promotional materials to help you raise awareness.
- Treat with Care: During Veterans Week, open your practice to veterans in need of dental services. Whether it’s a routine cleaning, a filling, or more complex care, your contribution makes a difference.
Sign Up Today

Fill out the form below to register your practice. Together, we can make this Veterans Week a time of healing and gratitude. Let's honor our heroes by ensuring they receive the dental care they deserve.
Your Name

First NameLast Name
Email
example@example.com
Your organization or practice
Phone Number
Please enter a valid phone number.
The address of your organization or practice

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Do you commit to providing free services for veterans for at least one day this Veterans Day week?

YesNoOther
What is the best way for veterans to reach out to book an appointment? Please provide the scheduling link, phone number, etc.
Tell us why you're signing the pledge!
Thinking of planning an event?

YesNoMaybe? More information would be great!
Great news! The ADA Foundation has several resources through their new Give Veterans a Smile program. Click here to access their planning guide.

For more general information about their program, including other organizations in the space, please visit their website.
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Serve a Veteran Pledge Form

Join the Mission: Honor Our Veterans with the Care They Deserve

Why Participate?

How It Works

Sign Up Today