Applicants must provide:

1. A completed Income Assessment Form
2. Proof of family income (e.g. “Notice of Assessment” for previous year’s tax return)
3. A completed Employer Letter or School Letter explaining dental coverage
4. Emergency clients may fill the Temporary Assessment Form

To access and download forms, visit our website.

Individuals with access to group dental plans (e.g. Blue Cross) or having similar coverage (e.g. Child Health Benefit or Dental Assistance for Seniors Program) are not eligible.

Healthcare providers should consult the Alberta Referral Directory for service referral information.

Emergency clients (pain, infections, extractions) receive priority for dental appointments.

Patients who have received a full series of treatment from this program must wait three years after treatment is complete before re-qualifying for another full series of treatment. Emergencies can still be dealt with during this three-year waiting period.

If you do not qualify, see our website for alternatives information on how to get dental care in the Calgary zone.