Douglas County Dental Clinic

New patients are always welcome here at the Douglas County Dental Clinic!

To be seen here at the clinic you must live in Douglas County, Kansas, be without dental insurance, and you must also meet income guidelines based on federal poverty levels. Our fees are set on a sliding scale based on your income and fees are due at the time of service. Proof of income is REQUIRED in order to be seen at the clinic.

Individuals over the age of 15 must first see the dentist for an examination and X-rays before any other appointments for non-emergency cleanings, fillings, etc. can be set.

Want to speed things up for your first visit with the clinic? Print and fill out

Darren

our new patient registration! Click HERE to view the document and to print it out. Bring the filled out forms to the clinic and we'll be more than happy to setup an appointment if you qualify to be seen here. The document is formatted in Adobe Acrobat format. If you don't have Adobe Acrobat on your computer, please click HERE.

In order to be seen here, you must meet federal poverty guidelines. We can only see patients that are at 200% of federal poverty guidelines or below. The 2008 federal poverty guidelines are as follows:

# of people in household	100%	150%	200%
1	$10,400/year or $867/month	$15,600/year or $1,300/month	$20,800/year or $1,733/month
2	$14,000/year or $1,167/month	$21,000/year or $1,750/month	$28,000/year or $2,333/month
3	$17,600/year or $1,467/month	$26,400/year or $2,200/month	$35,200/year or $2,933/month
4	$21,200/year or $1,767/month	$31,800/year or $2,650/month	$42,400/year or $3,533/month
5	$24,800/year or $2,067/month	$37,200/year or $3,100/month	$49,600/year or $4,133/month
6	$28,400/year or $2,367/month	$42,600/year or $3,550/month	$56,800/year or $4,733/month
7	$32,000/year or $2,667/month	$48,000/year or $4,000/month	$64,000/year or $5,333/month
8	$35,600/year or $2,967/month	$53,400/year or $4,450/month	$71,200/year or $5,933/month