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Healthy smiles ontario application

Healthy smiles ontario renewal form 2026

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The document outlines the application process for the Healthy Smiles Ontario Program, a government-funded dental program for children and youth from low-income families in Ontario. It details eligibility criteria, required documentation, and the responsibilities of parents/guardians regarding personal information and program compliance. The program provides preventive and early treatment dental services to dependents aged 17 and under who meet specific income and residency requirements.

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Click ‘Get Form’ to open the Healthy Smiles Ontario Renewal Form in our platform.
Begin by filling out Section A, which requires your personal information. Ensure you provide your first name, last name, and contact details accurately.
In Section B, enter the details of each dependent. For each child, include their name, date of birth, and address. Make sure to check the eligibility requirements for each dependent.
Proceed to Section C where you will declare your understanding of the program's terms and conditions. Review these carefully before signing.
In Section D, provide your consent by signing and dating the form. This confirms that all information is correct and that you agree to the data collection policies.
Finally, review all sections for completeness before submitting the form through our editor for a seamless experience.

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