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U.S. Veterans in New York State Seeking Dental Care

The New York State Dental Foundation has a directory of dentists who are willing to perform free dental care for U.S. Veterans who live in New York State. Please fill out the form below to request a referral to a dentist in your area who may be able to help.

Information in this form will be treated confidentially and used only for the purpose of obtaining a referral to a dentist for you.

By submitting this form, you are giving your consent to share information with a Network of health and social service partners powered by Unite Us software in the Unite Us Network. This Network is made up of entities and individuals who are directly involved in your care or payment of care. Your personal information may be shared securely on the Network in accordance with privacy laws to connect you with services. This consent covers all information shared by you or by anyone that has the right to share information on your behalf and is relevant to the recipient’s involvement in your care or payment for your care. You can always limit the information you provide on the Network by requesting to have it removed.

To understand how your information may be used and kept safe on the Network, please see uniteus.com/privacy.

If you no longer want your information shared on the Network, you can email consent@uniteus.com or ask any Network partner.

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