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Give Kids a Smile Day Forms and Helpful Downloads

Thank you for your participation in Give Kids a Smile Day!
Dentists and dental staff all over Colorado, and nationwide, support this ADA and CDA effort to give free dental services to low-income children. The Colorado Dental Association has prepared several forms and information pieces for this event for reporting and to assist you in your volunteer efforts. 

Patient Treatment Information:

Patient Appointment Reminder Letter.  If you are providing treatment in your office for Give Kids a Smile Day, we strongly encourage you to remind your patients of their appointments. Programs of this nature typically produce a higher than normal number of “no show” patients. This letter has been produced to provide your office with a tool to help minimize “no shows.” You are welcome to modify it for your office’s use.

Give Kids a Smile Day Consent Forms in English and Spanish. You are welcome to use your own patient consent and health history forms. If you would prefer not to, the above consent form and this health history form is available for your use.

Additional Treatment Information: 

Follow-up Care Forms: Dental Lifeline Network (formerly the Colorado Foundation of Dentistry for the Handicapped) Donated Dental Services Program will provide Follow-up Care for GKAS patients who need additional, immediate treatment. Simply make copies of their follow-up care form, fill out the appropriate information and mail/fax the forms to the Donated Dental Services Program. Your patient(s) will be contacted by the program and will be scheduled for additional treatment. Please also be sure to use the Patient Notification Flyer.  Make copies and give this flyer to each family who you refer for additional treatment – this is a measure to assist with communication between Dental Lifeline Network and the patient.  On Give Kids a Smile Day, you are going to meet some needy families and some great kids. There will also be some great needs that really touch your heart. You’ll wish there was something more you could do.

Kids in Need of Dentistry (KIND) Information Sheet: Please make copies of this English/Spanish, two-sided flyer and give it to ALL of your GKAS patients, regardless of whether or not they need additional care. This is a resource to help them later, should they need dental care in the future.

School Presentation Information and Education Materials:

 A selection of activity sheets are included for you to reproduce and keep in your waiting room or take to schools for presentations.



We hope your Give Kids a Smile Day event was a success, and we would love to hear your feedback and comments. Please feel free to call Molly Pereira at the CDA if you have ANY questions regarding the event or this packet, 303-996.2844.

Thank you again for your participation in this national access day, we greatly appreciate your dedication and generosity!


Give Kids a Smile Day Scheduling Tips

Give Kids a Smile Day Scheduling Tips

Give Kids a Smile Day (GKAS) needs little introduction anymore. Colorado is very fortunate to have so many generous dental professionals who, without a second thought, volunteer at least one of their busy days to help Colorado's kids through the GKAS program in February.

Based on prior GKAS surveys, the CDA is thrilled to know that your GKAS days continue to be huge success stories, opportunities for staff bonding and a great way for you to give back to the community. While the vast majority of the comments have been positive, some concerns were brought up regarding "no-show" patients and qualifying patients financially for the program. Both of these topics can be a problem with a program of this nature. The following are suggestions and ways to address these concerns.

No Show Patients: Let's face it, patients who miss their appointments are a problem. While good reasons may exist, the truth of the matter is that you set aside time in your day to help a patient, and the patient failed to show you the same courtesy. This is even more frustrating when you volunteer for a program to help those who need it most and all of the hard work you put into making the day as special as possible seems to be for not when at least one of your patients neglects to show up. While you can't control whether a person comes to his/her appointment, we encourage you to take some extra measures while scheduling and communicating with the patients prior to GKAS. Volunteer programs of this nature typically deal with a very transient population — addresses and phone numbers often can change within weeks, making it extremely hard to contact patients. In addition, transportation issues exist because several family members (or even several families) are sharing a vehicle, or the family's main mode of transportation is the bus system.

Scheduling: Taking all of this into account, consider scheduling extra patients or even double booking patients for the day. While this could result in an extremely busy day, the more likely result will be a fulfilling day with a controllable patient load. It's also a good idea to ask for more than one phone number to contact the patient (if one number is disconnected or incorrect, you'll have a second number as a back-up).

Communication: Don't be shy about reminding patients of their appointments. It is very important to remind patients at least once of their GKAS appointments. Even better, you might consider mailing a postcard or a letter reminder (with the address and a map to your office) and then follow-up with a phone call a day or two before GKAS. If you are working with a school nurse or another community resource, have them help you remind the families of their commitments to their appointments.

Qualifying Patients: It is no doubt frustrating when a mom shows up with her kids on GKAS day in a nice car and a $4 latte with extra foam in hand. It is also frustrating to find out that the family has some sort of insurance that would help them afford dental care, and yet they're showing up for free dental treatment. While this isn't a common occurrence, it unfortunately does happen from time to time. The intention of GKAS is to provide treatment for children who are without insurance, without CHP (Child Health Plan Plus) and without the means to afford dental care. As with many charity programs, there are unfortunately people who take advantage of the generosity of volunteers. GKAS was not established to police a family's financial situation, but asking a few questions before scheduling an appointment could spare you some frustration later.

Financial Assessment: When a parent calls to make an appointment for GKAS, take some time to ask a few questions to make sure they're deserving of an appointment. Ask them if they have insurance/CHP coverage. Respectfully deny the patient of a GKAS appointment if they have insurance or CHP coverage, and explain to the parent that this program is intended for those families who are without any financial assistance for dental treatment. While we do not ask for proof of a family's income situation, use your instincts to assess the caller seeking an appointment for his/her child.

These suggestions are not meant to take you out of your comfort zone or to cause embarrassment to the patients in any way. They are simply a few things to keep in mind as you are preparing for your GKAS Friday in a couple months. If you have additional questions or need more information, please call the CDA at 303-740-6900 or 800-343-3010.



Give Kids A Smile

Give Kids a Smile Day

Give Kids a Smile Day (GKAS) is the nation's largest proactive approach to help children from low income families with their dental needs, and to draw attention to the problem that many families face when trying to access basic dental care. GKAS takes place in every state, and Colorado is fortunate to boast one of the nation's success stories for this program.

Give Kids a Smile Day: Friday, Feb. 5, 2016
Register for Give Kids a Smile Day on the ADA's Website linked here.  If you are interested in volunteering at the CU School of Dental Medicine, please contact Molly Pereira at This email address is being protected from spambots. You need JavaScript enabled to view it. or 303-996-2844.

Volunteers, CLICK HERE to download useful forms and activity sheets.

The GKAS program is always the first Friday of February.  It's never too early to start planning for the next program!  Here are some dates to keep in mind:

There are many options for participation in GKAS: 

Planning Step #1: Mark Your Calendar and Brainstorm Ideas

If you haven't marked the GKAS date on your patient schedule, don't let another day slip by! Regardless of your activity, whether in the office or off site, marking down the date not only serves as a reminder, but also tells your staff not to schedule the normal patient load that day. Next, think about the type of GKAS activity you'd like to participate in: treating patients in your office, treating patients offsite at a nearby clinic, going to schools to give presentations, etc. Consider all your options and select activities that best suit you and your dental practice. If your activity involves more than just your participation as a dentist, organize a staff meeting, and brainstorm ideas and goals for the event:

  • How will we schedule patients that day?
  • How many patients should we schedule?
  • Will the patients be pre-identified or will we have a first-come, first-served event?
  • What hours am I/are we available that day?
  • Where should we recruit deserving patients? Does anyone have connections to a local school or church? Do we have any current patients who work for organizations that help low-income families?
  • Do we have bilingual capability in the office or do we know someone who could help if need be?
  • What schools or community centers nearby would be interested in an oral health presentation?

Planning Step #2: Solidify Your Plans

Time to start solidifying your plans.

If you would like to treat patients in a location other than your office (such as the CU School of Dental Medicine), make sure that the CDA is aware of your interest to volunteer in a participating clinic. The CDA will make the arrangements for you and will contact you with details for the day. Call or email the CDA at 303-996-2844 or This email address is being protected from spambots. You need JavaScript enabled to view it. .

If you are visiting schools or community centers to give educational presentations, start contacting teachers and program coordinators to offer your services and to set-up a class/group presentation. It is important to contact schools before the end of the year (winter break) so teachers can include you in their future lesson plans. The CDA has many educational resources including lesson plans and activity sheets available to download and reproduce.

If you are treating patients in your private office, begin contacting Boys and Girls Clubs, United Way, Head Start programs, school nurses and/or church organizations to recruit patients. These programs will be able to locate children without insurance from low-income families who could use your generous services. Explain to your contact how many children you're able to treat and the details of your event. Make sure that they know that GKAS is a Friday event, so they can work with their families regarding transportation, etc. December is also a good time to think about the option of providing patient goody bags, waiting room entertainment/activity sheets/toys, etc.

One-month countdown! Now is the time to secure all of your plans for patients and presentations.
Click here for scheduling tips! If you're seeing patients in your office, schedule your patients at this time and don't forget to obtain a good contact number to confirm their appointments at least once. Events of this nature unfortunately produce a "no-show" factor due to transportation problems, time away from jobs and other unanticipated issues. For this reason, consider booking a few extra patients or even double-booking patients for your event. While this could result in a very busy day, it will more likely result in a day of great success, and fulfilled patients and dental staff members.

Give Kids a Smile Day is the first Friday of February. Approach your day with a little added flexibility. You'll be providing a wonderful service to the children you help through this program.

Thank you in advance for being a part of this charity program and awareness effort that truly gives Colorado kids something to smile about. If you have any questions or need any help planning your GKAS day, please contact the CDA at 303-996-2844 or
This email address is being protected from spambots. You need JavaScript enabled to view it. .

Can't participate this year?
Make a donation to Give Kids a Smile!





CDA Charity Fund Grants

CDA Charity Fund Grants

The Colorado Dental Association believes in giving back to the community it serves through charitable efforts. The CDA's intention is to award grants to Colorado charitable organizations and projects that focus on improving the oral health of Colorado's communities. Charitable grants are awarded to Colorado non-profit organizations. The CDA does not provide grant funding to individuals.

Grant Proposal Instructions
Thank you for your interest in the Colorado Dental Association Grant Program. At this time the CDA Foundation is re-evaluating its strategic plan for charitable giving.  More information will be available soon.


CDA Charitable Programs

CDA Charitable Programs

Colorado Dental Association dentists have given millions of dollars in donated dental services through programs like the CDA's annual Colorado Mission of Mercy (COMOM) and Give Kids a Smile Day. Both programs are dedicated to providing dental care to Coloradans who cannot afford necessary dental treatment.

The CDA is constantly looking for volunteers to participate in these annual programs. Also, donations are welcome and accepted through the CDA Charitable and Educational Fund. These donations are tax deductible and can be designated for a specific CDA program or for the CDA Charity Fund Grant program CDA Charity Fund Grants.

To learn more about the CDA's charitable efforts or to volunteer, please explore the links below.

  • Give Kids a Smile — A day of free dental treatment and education for kids without dental insurance or the means to afford dental care. This event occurs on the first Friday of February each year in celebration of National Children's Dental Health Month.
  • COMOM — COMOM is a large-scale portable dental clinic that provides free dental treatment to children, adults and the elderly. Treatment is provided first-come, first-served to individuals who are unable to afford dental care. This clinic boasts over 125 chairs and is a life changing experience for both patients and volunteers. COMOM is an annual event in Colorado and typically occurs in the fall.
  • CDA Charity Fund Grants — The CDA accepts grant applications to provide funding to non-profit dental organizations and community oral health projects. The CDA does not provide grants to individuals.
  • Colorado Donated Dental Services (DDS) — DDS provides pro bono, comprehensive dental treatment to our country’s most vulnerable people with disabilities or who are elderly or medically fragile. These are people who cannot afford necessary treatment and cannot get public aid. The program operates through a volunteer network of more than 730 dentists and 170 dental labs across the state. Since its inception in 1985, our DDS program has surpassed $29 million in donated dental therapies, transforming the lives of over 11,900 people.

(Click on the button to contribute)



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