Community Smiles Dental Programs

FAQ

These are our most frequently asked questions

Are there patient forms I can fill out before my visit?

What is the referral process?

  • Please complete the Agency Referral Form. Provide as much information about the patient as possible.
  • Fax referral form to our Waukesha clinic at fax number 262-522-2828 OR our Menomonee Falls at fax Number 262-502-0508.
  • For all questions pertaining to a referral, please call the clinic you faxed your referral to.
  • Patients will be scheduled for appointments by the Community Smiles Dental staff after eligibility is confirmed.
  • OB/GYN medical providers should use our OB/GYN Referral Form. to refer pregnant patients to our clinics

Updated Sliding Fee Scale for Uninsured Patients 2025

2025 CSD Patient Letter – Updated Sliding Fee Scale (English)

2025 CSD Patient Letter – Updated Sliding Fee Scale (Spanish)

To make an appointment, please call the clinic at 262-522-7645.

A Look Back at Laugh for a Smile

Thank you to everyone who joined us at Laugh for a Smile. It was a truly special evening, filled with laughter, community, and purpose. We […]

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