• Please complete the Agency Referral Form. Provide as much information about the patient as possible.
  • Fax referral form to Community Dental Health Coordinator. FAX NUMBER 262-522-2828.
  • For all questions pertaining to a referral, please¬†call 262-522-7645 ext. 228.
  • Patients will be scheduled for appointments by the Community Dental Health Coordinator after the WCCDC confirms eligibility.

Celebrating 10 Years of Making Smiles Healthy and Happy