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Becoming a New Patient

Duck River Dental Outreach provides comprehensive dental services for low-income, uninsured individuals suffering from devastating dental disease on a sliding fee scale based on income and family size.


If you meet the general guidelines listed above and want to find out more information about our program, please call our office at (931)388-6410 and speak with one of our Patient Care Coordinators for additional program requirements.


Phone Interview


When you call to inquire about becoming a new patient, our exceptional team of Patient Care Coordinators will ask you for some basic information to help route you through our program to address your dental needs.


Applying for the Duck River Dental Outreach Comprehensive Care Program

Applications for this program are available on a first come first-served basis. Both the Family Member Information and Clinic Guidelines forms must be completed. You may download the DRDO Family Member Information, Patient Medical History, Media Consent Form, and the DRDO Clinic Rules or you may call one of our Patient Care Coordinators at (931) 388-6410 to find other ways to obtain an application.


It's strongly suggested you also download our Required Application Information PDF for a full list of the required documents necessary to complete your application.

Should you have questions about your application, our Patient Care Coordinators will provide a brief orientation on the program and how to correctly fill out the application.

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