How Do I Enroll

How do I enroll?

Call Your Health Connection and we will assist you with the application process, which involves completing a form and showing required documentation.

• Families with complete documentation 
  • Form A: Healthy Smiles Ontario Program Application (PDF)
• Families with limited documentation 
  • Form B: Healthy Smiles Ontario Program Application (One-Year Eligibility; Limited Documentation) (PDF)
  • Form D: Healthy Smiles Ontario Guarantor (PDF)
• Youth without parent or legal guardian
  • Form C: Healthy Smiles Ontario Program Application (Youth without parent or legal guardian) (PDF)
  • Form D: Healthy Smiles Ontario Guarantor (PDF)

For more information

Please Your Health Connection Dental Health team at 705-721-7520, ext. 8803 or toll free at 1-877-721-7520.