Sliding Scale Discount Program Application

Burns Dental Group serves all patients regardless of inability to pay. Discounts for essential and/or emergency services are offered based on family size and income.

Please fill out the application below:

Once completed, take the application to your next visit or email us at info@burnsdentalgroup.com.

 

If you have any questions or concerns, please do not hesitate to contact our office or call us at 541-573-7778.