Dental-Only Application

You can download the Bethesda Health Clinic Dental-Only Application (PDF format) here. Dental-Only Application

This application includes the qualifications to become a dental patient, a list of the documents you must provide, the application, and Waiver of Liability for Treatment.

Downloading, printing, reading and completing the application prior to visiting Bethesda Admissions is advisable.  This will help ensure that you have all the information and necessary documents required to process your application.

Bethesda Admissions is open Monday-Thursday, 10:00AM-1:30PM, on a first come first served basis.