Submit a Program

The Administration for Community Living and the U.S. Department of Health and Human Services’ Office on Women’s Health have teamed up to improve the oral health of older adults. This joint initiative includes identifying low-cost, community-based oral health services. Each identified program will be researched further for potential inclusion in this website’s database of oral health programs and resources. Our ultimate goal is to share the database of oral health programs and The Community Guide to Adult Oral Health Program Implementation (Oral Health Guide) with all communities interested in starting or enhancing their own oral health program for underserved older adults.

We invite you to submit for consideration a community-based oral health program by completing this form. Please include information on yourself and the program and select all of the boxes that pertain to features of this program. Please email oralhealth@acl.hhs.gov to update information on a program already included on this website.

1. Submitter Information
2. Program Information
3. Program Features
Age
Specific Populations
Geography
Service Delivery Setting
Service Delivery Model
Staffing
Payment for Care
Program Funding
Dental and Oral Health Services
Other Program Services
Integration with Services