• You must live in the North Okanagan which includes Cherryville, Lumby, Lavington, Coldstream,       Vernon, Spallumcheen, Armstrong, Enderby, Grindrod or Falkland.

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• ​ You must be on Income Assistance, Persons with Disabilities or have a combined "adjusted"     family income less than $35,000.

• Please Note: Individuals or families that have an employee dental plan are not eligible to attend CDAC.

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• Due to unfilled staff positions we are unable to book teeth cleaning appointments at this time.

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Please fill out the form below and click SUBMIT at the bottom of the second page.  

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       Our friendly staff will contact you to discuss  your qualification and set up your first             appointment.    Phone 778-475-7779 - weekdays between 9 am and 4 pm.  

If you have trouble accessing this form on your phone please try a computer.

What to bring to the office for your first appointment.

Current Tax Assessment Notice

     if you are not on Income 

          Assistance or PWD

Proof of Address

junk mail or bill showing your

name and address

BC Health Card

for each family member

List of Medications

with dosages