Thank you for your interest in the CSRA - EOA Head Start. Please note, this is NOT a guarantee for enrollment in the program, the pre-screening application starts the process of determining your eligibility. Please, read and answer each question that is applicable to your family. Please complete this form to begin the Head Start application process. All fields marked with a * are required
Parent/Guardian
Adult in the House who is the Parent/Legal Guardian. *note* This Person will be Primary Point of Contact Please answer questions about education, employment and income based on the date of the application. For teen parents, only enter "Yes" if 19 years or younger on the date of application.
First Name (Required)
Middle Name
Last Name (Required)
Suffix
Birthday (Required)
Gender
Female
Male
Email Address (Required)
Confirm Email Address
It appears that you have previously submitted an application. If you wish to apply again, please contact us by phone or in person.
Mobile Phone
Opt In for Text Messages
Yes
No
Home Phone
Work Phone
Ext.
It appears that you have previously submitted an application. If you wish to apply again, please contact us by phone or in person.
Race
American Indian or Alaska Native
Asian
Black or African American
Hispanic/Latino
Multi-racial/Biracial
Native Hawaiian/Other Pacific Islander
Other
Unspecified
White
Hispanic
Yes
No
Lives with Family
Yes
No
English Proficiency
Little
Moderate
None
Proficient
Other Language
African Languages
American Sign Language
Caribbean Languages
Central American
Chinese
English
French
Middle Eastern & South Asian Languages
Native American-North Amer/Alaska Native
No Other Language
Other
Pacific Island Languages
Sign Language
Spanish
Unspecified - Unknown/Parents Declined
Wester European Languages
Other Language Proficiency
Little
Moderate
None
Proficient
Highest Grade Completed
Associate's Degree
Bachelor's Degree
College Degree/Training Cert.
College or Advance Training
General Education Diploma
Grade 10
Grade 11
Grade 12
Grade 9 or less
High School Graduate
Master's Degree
PhD
Employment Status
Full-time & Training
Full-time (35 hours/week or more)
In School
Job Training
Part-time & Training
Part-time (Under 35 hours/week)
Retired or Disabled
Seasonally Employed
Unemployed
Child's Relationship
Biological/Adopted/Step
Foster
Grandchild
Other
Other Relative
Custody
Yes
No
Provides Financial Support
Yes
No
Teen Parent
Yes
No
If Teen Parent, Subsidized?
Yes
No
Address
You must provide your current address.
Is your family experiencing homelessness?
Yes
No
Living Address (Required)
Address Line 2
City (Required)
State (Required)
ZIP (Required)
Click here
to find a provider in your area.
Mailing Address same as Living Address
Mailing Address
Address Line 2
City
State
ZIP
Additional Parent/Guardian
Only complete this section if the Secondary Adult is currently living in the home, being supported by the same income, and related by blood marriage or adoption. *note* Adult is considered 18 years old or older
Is there another parent/guardian in the family?
Yes
No
First Name (Required)
Middle Name
Last Name (Required)
Suffix
Nickname
Birthday (Required)
Gender
Female
Male
Email Address
Confirm Email Address
It appears that you have previously submitted an application. If you wish to apply again, please contact us by phone or in person.
Mobile Phone
Opt In for Text Messages
Yes
No
Home Phone
Work Phone
Ext.
It appears that you have previously submitted an application. If you wish to apply again, please contact us by phone or in person.
Race
American Indian or Alaska Native
Asian
Black or African American
Hispanic/Latino
Multi-racial/Biracial
Native Hawaiian/Other Pacific Islander
Other
Unspecified
White
Hispanic
Yes
No
Lives with Family
Yes
No
English Proficiency
Little
Moderate
None
Proficient
Other Language
African Languages
American Sign Language
Caribbean Languages
Central American
Chinese
English
French
Middle Eastern & South Asian Languages
Native American-North Amer/Alaska Native
No Other Language
Other
Pacific Island Languages
Sign Language
Spanish
Unspecified - Unknown/Parents Declined
Wester European Languages
Other Language Proficiency
Little
Moderate
None
Proficient
Highest Grade Completed
Associate's Degree
Bachelor's Degree
College Degree/Training Cert.
College or Advance Training
General Education Diploma
Grade 10
Grade 11
Grade 12
Grade 9 or less
High School Graduate
Master's Degree
PhD
Employment Status
Full-time & Training
Full-time (35 hours/week or more)
In School
Job Training
Part-time & Training
Part-time (Under 35 hours/week)
Retired or Disabled
Seasonally Employed
Unemployed
Child's Relationship
Biological/Adopted/Step
Foster
Grandchild
Other
Other Relative
Custody
Yes
No
Provides Financial Support
Yes
No
Teen Parent
Yes
No
If Teen Parent, Subsidized?
Yes
No
Family Information
The Office of Head Start defines family as all persons living in the same household who are supported by the child’s parent(s)’ or guardian(s)’ income; and are related to the child’s parent(s) or guardian(s) by blood, marriage, or adoption; or are the child’s authorized caregiver or legally responsible party. 1st Example: Mother lives with father (blood, marriage, adoption, or legal guardian) and they both provide financial support for three children. The number in the family is five. For TANF, SSI, WIC or SNAP only answer "Yes" if you are currently receiving those benefits. Proof of income and copies of award letters will be requested.
Number of Parents/Guardians
One Parent Family
Two Parent Family
Relationship to Participant(s)
Foster parent(s) not including relatives
Grandparent(s)
Other
Parent(s) (e.g. biological, adoptive, stepparents)
Relative(s) other than grandparents
Primary Language at Home
African Languages
American Sign Language
Caribbean Languages
Central American
Chinese
English
French
Middle Eastern & South Asian Languages
Native American-North Amer/Alaska Native
No Other Language
Other
Pacific Island Languages
Sign Language
Spanish
Unspecified - Unknown/Parents Declined
Wester European Languages
Is another language being acquired or learned at home?
Yes
No
Is your family receiving cash benefits or other services under the Temporary Assistance for Needy Families (TANF) program?
Yes
No
Is your family receiving Supplemental Security Income (SSI)?
Yes
No
Is your family receiving services from WIC?
Yes
No
WIC ID (if applicable)
Is your family receiving services under the Supplemental Nutrition Assistance Program (SNAP), formerly referred to as Food Stamps?
Yes
No
Is at least one parent/guardian an active duty member of the United States military?
Yes
No
Is at least one parent/guardian a veteran of the United States military?
Yes
No
Emergency Contacts
Add Emergency Contact
Child (Applicant)
All fields marked with a * are required. If your child has an IEP or IFSP in place, please enter the diagnosis along with the services begin and end dates, in the note section.
First Name (Required)
Middle Name
Last Name (Required)
Suffix
Birthday (Required)
Gender
Female
Male
Race
American Indian or Alaska Native
Asian
Black or African American
Hispanic/Latino
Multi-racial/Biracial
Native Hawaiian/Other Pacific Islander
Other
Unspecified
White
Hispanic
Yes
No
English Proficiency
Little
Moderate
None
Proficient
Other Language
African Languages
American Sign Language
Caribbean Languages
Central American
Chinese
English
French
Middle Eastern & South Asian Languages
Native American-North Amer/Alaska Native
No Other Language
Other
Pacific Island Languages
Sign Language
Spanish
Unspecified - Unknown/Parents Declined
Wester European Languages
Other Language Proficiency
Little
Moderate
None
Proficient
Primary Health Coverage
Children's Health Insurance Program (CHIP)
Medicaid
No Insurance
Other
Private Health Insurance
Other Coverage
Children's Health Insurance Program (CHIP)
Medicaid
No Insurance
Other
Private Health Insurance
Insurance Number
Medicaid Eligibility
Not Eligible
On Medicaid
Potentially Eligible
Medicaid Number
Doctor/Medical Home
A U Pulmonology
A Wright
A. Chandler
A. Murdock-NP/A Picher-MD
A. Nataraj
A. Reginald Pitcher
ABU, Rebecca, MD
Acevedo J.H.
Acosta, Michelle S.
Adam, John
Adrian Health Department
Ahmed, Shahzd
Aiken Pediatrics
Ajayi, Phillip
Alan Cu-Chiam
Alan Whithouse, MD
Albert Copeland
Allen, John
Allen, John
Allen, Mary Judith K., DMD
Amber Hughes, NP
Amber Jarrell Pediatric Clinic
Ameri Afshin
AMH
Amy Clemons
Amy Thompson
Anderson
Anderson, K
Anderson, Mary MD
Andre Miller, MD
Andrea Byrd,
Andrea Prosser
Androa Prosser
Angela Dauphin
Angela Overstreet
Anthony Bonitatibus
Apostol Christopher J.
April Riggs, PA-C
Arun Jain
Ashley Potter
Ashley Reynolds
AU Dental Associates
Audiology Clinic, EAMC
Augusta Developmental Specialist
Augusta ear nose throat
Augusta ENT
Augusta Hearing anad Balance
Augusta Partnership for Children
Augusta Pedatrics
Augusta Pedatrics
Augusta Pediatric Associates
Augusta Pediatric Clinic PC
Augusta Smiles Youth Dentistry
Augusta Technical College
Augusta Technical Nurses
Augusta Therapy For Children
Augusta University Eye Care Cent
Augusta University Medical Cente
Augusta University Ped Urology
Awu, E.A MD
Ayers Russ
B. Lednicky
Babies Can't Wait
Babies Can't Wait
Baby Can't Wait
Bailey,Thomas E. , M.D.
Bajaj, Shalini
Baker, Lee, DDS
BAREFIELD, MD
Barnwell Family Medicine
Barnwell Pediatrics
Barrientos, Alexia MD
bassali, Bassel, Dr.
Bauza, L.
Beall, Sharon MD
Beatriz Barrientos
Beaufort Comprehensice Pediatric
Becerra, J.
Becton Jr.,James Louis
Becton, Elizabeth MD
Belvia Payne Community Health
Benolt-Harris, Debbie MD
Benson
Bental, Karyl MD
Benton Harris
Beth Baisden, MD
Bhatia, Jatinder
Billingsley, Gary M MD
Billingsley,Gary
Black River Healthcare-Manning
Blackmon, K.
Blackstock
Blake Scheer MD
Bliven, Caroline D. Dr.
Bonitatibus, Anthony John MD
Bonitatibus,Gena Marie
Bookman, Robert MD
Bradley Yingst, D.O
Branch
Branch
Bray, Joel MD
Britt, Amanda MD
Brooke Vinturella
Brooks, Steven MD
Brown, Roger
Bruce Finkel
Bruce Finkel
Bruce Finkle
Buchanan
Bulloch County BOE
Bulloch County Health Dept
Bulloch County Health Dept.
Bulloch Pediatric
Burgner, Kate
Burke County BOE
Burke County Health Dept.
Burke County Hospital
Butler, A. MD
Butzon Corey
Byne MD, Edmund
Bynes, MD
C. Ho
C. Troup
Caitlin Tierney
Caldwell A.
Campbell, Robert M.D.
Campo, Leonrdo MD
Cannady, William E. M.D.
Cannday
Capuy
Capuy, Halbert MD
Carillo, Luis, MD
Carla Smiley
Carlson, Andrew, MD.
Carol Tarver
Carol Thompson, MD
Caroline Fu, MD
Carr, John MD
Carswell, MD
Carter, MD
Carter, Frank MD
Carter, Karen MEd, MD
Carter, Mary MD
Casella, Benjamin
Casella, Victor Dr.
Casey Roland
Castellino, Candice MD
Castellino,Candance
Catherine Kerr
Catherine Miller
Catie Bell
Cawley
Center For Community Health
Center for New Beginnings
Center for Pediatric & Adol. Med
Center for Primary Care
CENTER FOR PRIMARY CARE SOUTH
Ceyssens
Ceyssens Wouter
Chad Thomas Marley
ChadwickBRANTLEY
Chancey, Andrea Nicole, PA
Chandler County Health Departmen
Chandler, Bobby MD
Chandra Jennifer Lunsford
Chappell, Scott MD
Charles Lee Collins
Charleston Dental & Braces
Chase-Hilde, Eldonna
Chatham County Health
Chaudhary, Tesneem K. MD.,FACA
Chaundra
Cheek Jonathan A. MD
Cheryl Perkins MD
Child First Pediatric Clinic
Children Care
Children Clinic
Children First Pediatric Clinic
Children Health Clinic
Children Hospital of Georgia
Children Lung and Sleep Assoc
Children"s Inaternational Medica
Children's Center
Children's Group
CHILDREN'S HEALTHCARE
Children's Healthcare Center, LL
Children's Healthcare of Atlanta
Children's HealthCare of Atlanta
Childrens Eye Institute
chog pilcher practice
Christ Community Health
Christian Ramos
Christian, MD
Christopher Jimenez, MD
Christopher Michael Watson
CHULAM M JARWAR MD
Cindy Gartmond
Cindy Gartmond
CLAIBORNE, MAUREEN
Clairborne, Maurine MD
Claire Slocumb
Clark, Matthew
CLARK, ROBERT MD
Clarke Medical Group
Claudio Sandoval
Clayton County Health Dept.
Clemons, T. MD
Cliffton, MD
Clifton James, Dr, DO
Clifton Springs Health Center
Coastal Allergy & Asthma
Cobb County Health Department
Coleman Joshua
Colon-Santini, Julian MD
Columbia County BOE
Columbia County Health Dept.
Columbia Speaks
Community Medical Associates
Concerted Services, Inc.
CONNER J STEPHEN
Convenant Pediatrics
Conyers Pediatrics, PC
Cook, Danny, RDH
Cookingham, Corey MD
Copeland
Cornerstone Medical Assoc. Pedia
Cory Butzon
Cory Butzon MD
Court, V.
Covenant Multispeciality Group
Covenant Pediatrics
Covenant Pediatrics Dr. Wilson
Cox,Nancy M.D
Coyle, Helen
Craevington, Rachel MD
Craighead, Pamela MD
Crews, MD
Cristina Delgadillo M.D.
Cruz
Cruz, MD
CSRA HEADSTART HEALTH SPECIALIST
CSRA Pediatrics
CSRA Therapy for Children
Cunningham Keith, MD
Curtis C. Cooper
CVS Minute Clinic
D FREEMAN
Dahlmann Ashley
Daniel Allen
Danielle Rosema
David Fisher
Davidson Freeman
Davis, Anthony MD
Davis, Loretta S. MD
Davis, Loretta Smrtnik
Davis, Stacy MD
Davis,Angela
Dayna Jones
DDEAMC Optometry Services
Deal
Deal, Micheal MD
Debbie Benoit Harris
Deborah Deeder
Delene P. Musielak
DENTISTRY FOR CHILDREN
Dicker,Donald Clinton
Doctor Tillman
DOCTOR WALK IN CLINIC
Doctor's Hospital
Dogwood Pediatrics of Savannah
Dorothy Dorsey, LPN
Douglas Nesbit
Downard, MD
Downstate Pediatric Associates
Doyle J. Outler
Dr Kannan Vaidyanathan MD
Dr. Beaudreau
Dr. Christopher Carswell, MD
Dr. Claudio Machado
Dr. Erica D. Sapp MD
Dr. Jacks
Dr. Pistoria
Dr. Stacey Davis
Dr. Thomas Miller
Dr. Virdee
Dr. Waller
Dr. Willard
Dr. Zeanah
Dr.Rao T. Immaneni
Drake, Jennifer M.D.
Dublin Ear, Nose and Throat
Ducktails Pediatric Therapy and
Durant Eye Care
Eason
East Central GA Innovative Readi
East Ga Health Clinic
East Ga Internal Med & Peds
East Ga.Regional Eye Center
EAST GEORGIA HEALTH CARE
East Georgia Healthcare
East Georgia Healthcare Center
East Georgia Pediatrics
East Georgia Regional
EENT SERVICE,EAMC FT GOTRDON
Egberto Toro, MD
Eirene Georgia Alexandrou
Eisenhower Army Medical Center
El-Amin
Elbert County Health Department
Elise Harkey, NP
Elizabeth Beton
Elizabeth Haile
Elizabeth Penn
Ellison, Chante MD
Emanual Pediatrics
Emanuel County BOE
Emanuel County Health Department
Emanuel County Health Dept.
Emanuel County Medical Center
Emanuel Healthcare Center
Emery, MD
Eric Hall
Erica Russell-Petty
Erica Sapp,MD
Ericka Russel-Petty
Erin Nobles, NP
Errie Valerie
Ertle, Valerie MD
Erwood Adam, MD
Escalona-Cruz, R. MD
Escalona-Cruz, Relpha MD
Escalona-Cruz, Relpha MD
Euchee Creek Clinic
Evans County Board of Health
Evans HealthWellness Center
Evans Medical Group
EVANS, MD
Evans, Donna MD
EYE CARE CENTER
F. Geoffery Conne
F. Geoffery Conner
Faheem Nusrat
Family Care Group
Family Care Medical
Family First
Family Healthcare Center
Family Medicine Center
Family Medicine Clinic
Family Practice Physician
Farrior, John
Fatima T. Zohr
Fatteh, MD
FELDMAN, DANIEL MD
Feldman, Daniel MD
Feltz, MD
FENNEMA,STEPHANIE
Fernando, Mary Lou MD
Fields, Abbey
Fisher, Lyn MD
Ford, James MD
FORNEY, PAUL/SANDRA MD
Forrester Tiffany
Fort Gordon Hospital
Foushee, Karen MD
Foushee, Karen MD
Francis Mitchell
Francis Valenzueta
FRANKLIN, ROBERT MD
Freeman, David MD
Freeman, Davidson MD
French MD
Frey, Joseph PhD
Furmanski, Katherine
G
G. Bonitatibus
Gay, Kyle MD
Gbadebo, Olufowobi
Georgia Dermatology
Georgia Ear Institute
Georgia Health Sciences Emergenc
GERALDO, SANTIAGO MD
Gerguis, John
Getts, Allen MD
Gheesling, Brandy MD
GHS Medical Center
Glascock County Health Dept
Glen Dasher
Godfrey, Danielle
Goel, A. Dr.
Gordana L. Zakula
Gore, Jonathan, MD
Gorham, Jane
Gorion, Ben-Patrick MD
Graves, Michael
Green, Patricia
Green,Cylde
Greenberg, Doris
Gresham, Mark
GRIFFIN, SHELLY M.D.
Grotz Kenneth
GRU Audiology Associates
GRU children Clinic
GRU Medical Center
GRU Pediatrics Clinic
GSU Health Center
H
H. Kemp Jones, Jr.,O. D.
Halifax Health
Hammond, Dena
Hancock County Health Dept.
HANNA, MD
Hanna, Aaron MD
Hannah, Aaron MD
Harris, MD
Harshman, Sonali MD
Harsimrat Parmar
Hartiage, Patricia MD
Hartman, Laura
HASSAN, ZAHEED
Hawes, Monica, RN
Head Start Staff
Health Dept.
Hearing Associated
Heather Raborn
Heather Stewart
Hendrich, Julia
Herzwurm, Sandra M.D.
HICKERY M.D.
Hicks, Julie
HIGGSTON FAMILY CLINIC
Hodnick, Mike MD
Hooker, L. DMD
Hope Medical Center
Hope Pediatrics
Husainy, Nargis MD
Ifarinde
Ikeler, Michael M.D.
Immaneni,R. MD
In-Home Therapy
Ingley
Ingram Maya
Ingram, Maya MD
Insight Family Eye Care
Irwin, Kelli, SLP
Isreal Saucedo,CNP
J. Tarbutton
J.A. MAXWELL
Jackson
Jackson Health Systems
JACKSON, MD
Jacob, Julia
Jacqueline Dubose PCP
Jagdale
Jain, Arun MD
James carroll
James H. McCrory, MD
James Yancey
Janit, Adrian MD
Jasmine Dixon
Jason Smith
Jatinder Bhatia
Jatinder Bhatia
Jatinder Bhatia
Jaya Therattil
Jayne, Kristina, MD
JB Scoggins
Jefferson County BOE
Jefferson County Health Dept.
Jefferson County Hospital
Jenkins Co Health Dept
Jenkins County BOE
Jenkins County Health Dept.
Jenkins County Hospital
JENKINS, BONNIE P MD
Jennie scoggins
Jennifer Mote
Jennifer Onyirimba
Jennifer Tarbutton
Jester, Kim MD
Jeuslyn Chandler
Jill Krell
Jill Krell
Joan Ifarinda
Joan Ifarinde
joan ifarinde
Joan Infaride
Jocelyn Miller Snider
John Angelo
John Baxley III
John Baxleylll
John Hobby
John M. DeVaro
John McCaskey
Johnson, Caylor , MD
Johnston, Lester MD
JON UWADIA, MD
Jones, Steven MD
Jordan, Barry W. MD
Jordon Smallwood
Jose Catabog MD
Joseph Trasmonte
Joshua Smith
Judd, MD
junie scoggins
Junnie B Scoggins
K burgner
KAHRYN WILLIFORD
Kaiser Permanente Panola Medical
Kappes
Kappes Julie
Kappes, Carl MD
KAPPES, JOE MD
Karen Anderson
Karol Kumpfer MD
Karri Ray
Karyl Patten
Katcoff, Gary DD
Katherine Bohannon, DO
Kathey Williams
Kathryn
Kathryn K. Wiiliford
Kathryn McCutcheon
Kaushal, Dr.
Kavuri
Kavuri
Kelli Carter
Kelli Irwin
Kelli Irwin
Kelli Rummings
Kelly Lane MD
Kelly Solms
Kelly Tillman
Kelly Watson
kelly watson, MD,FAAP
Kendor, Sokar MD
Kennedy, Philip MD
Kids First Pediatrics
Kids First Pediatrics
Kids First Pediatrics,PC
Kids Prompt Care
KidsMed
Kiernan, Barbara MD
Kiluk, Vinita MD
KIm Urlan M.D.
Kimberly Buchanan
Kimberly Clark Brake
Kimberly Jester
Kimbrough
Kindercare Pediatrics
Kinsey, T R
Kinsey, Timothy MD
Kirby
Kitchen, J. MD
Kousuri, MD
Kugar, Jodie MD
Lab Corp
Lamberts, Robert MD
Lane, Joshua Alton
Langley Family Health
Laughridge Heather
Laura Anderson
Laura Green
Laura Hartmann
Lazari, Dr.
Lazari, George
Lazari, George MD
Leggio Lisa
Leggio, Lisa Engen
Leila Stallworth
Leslie Mills
Leslie Mills, APRN CPNP
Leverett, Barbara MD
Ligon A. Jennifer
Lincoln County BOE
LINCOLN HEALTH DEPARTMENT
Lindman, Jonathan P. M.D.
Lisa E. Leggio, MD, Pediatrics
Lisa McBride MD
Little, Mark Au. MD
Liverly, Austin
Lord Eye Center-Augusta
Lord's Eye Center
Louisville Drug Co.
Low Country Health Care System
Luke Shiver
LYNCH,SEAN MD
Lynne Weaver-Coule
M Nelson Do
M. J. Cheshire
M. Lacoursiere
Machado, Claudio
Machado, Claudio Dr.
Mady Wommack Nasworthy
Mahoney Kathy
Mallard
Mama Doc Pediatrics
Manaloe
Manaloe
Manoj Mohan
Marconi Deladisma
Margret Weston Medical
MARIAN EBRON
MARIAN EBRON
Mark Mccracken
Mars, Christian
Marsha Joan Cheshire
Martinez EyE Associates
Mary Black, MD
Mary Clare Certified RNA
Mary Digiulio
Mary Glover
Mary Lee Gregory
Mason-Woodard, Michelle M.D.
MASSEY JENNIFER MD
MASSEY, MD
Mathai,Bridgit, M.D.
Mathew, Armrutha MD
matthew Threadgill
Maxine Semaneh Elkani
MCCUSKER
McCutcheon K
McDaniel, Michael
McDonough Pediatrics, PC
McDuffie County BOE
McDuffie County Health Dept
MCFARLIN, CHRISTIE M.D.
MCG
MCG Ambulatory Care Services
MCG Continunity Care Clinic
MCG Dept of Pediatrics
MCG Eye Care
MCG Family Medicine
MCG Family Medicine Center
MCG General Pediatrics Practice
MCG Health Physchitry
MCG Nursing Faculty Practice Grp
MCG OPHTHALMOLOGY
MCG Pediatric Continuity Care
MCG Pediatric Continuity Clinic
MCG Pediatric Dentistry
MCG Pediatric Otolaryngology
MCG Pediatrics Hematology
Mcgahee, Dwayne, DMD
McKenzie, Timothy MD
McKie,K,M.D
Mckinley Family Dental
McKnight, MD
McLeod K
Mclord
Mcshane, Robert, MD
MEDCURA HEALTH INC
MEDICAL ASSOCIATE OF SARDIS
Medical Associates
medical associates plus
Medical Associates Plus
Medical Associates Plus Belle
Medical Associates Plus Mobile
Medical Center
Medical Specialist Inc.
Medical Specialists
mednow
Mednow Urgent Care
Meenashki Hari
Melba De la Cruz
Melcher, Richard
Memorial Pediatrics
Merchen Lee Dr.
Messulam Elizabeth
Messulam, Elizabeth MD
Michael Gaines
Michael Scott
Micheal O. Needham, MD
Michelle Holling
Middle Georgia Allergy&Asthma
Middlebrook, Tracy MD
Milledgeville Pediatrics
Miller,Jerry MD
Mills, Leslie CPNP
Mills, Leslie Dr.
Mims, Tanya FNP-BC
Mindy Stansfield MD
Miniyar's Pediactrics
Minton, Katherine MD
Mitten, Katherine MD
Mobley, Jennifer MD
Molina, Adolfo
Moore
Moore, Donna MD
Moore, Steven MD
Moore,Donna M.D.
Moretz, Katherine
Morgan, Robert O.D.
Mountain,Christy.M.D
Mt. Health Family Pratice
Murdock, Alicia DMD
Murray, Lamar MD
My Eye Dr.
Myers, Shannon N. MD
MyEyeDr
Nafarrete
Nafarrete, Cynthia M.D.
NAGGAR, HEATHER MD
Nahhas, Michael
Nancy Cox
Nancy Cox
Nancy Cox
Nancy Young
Natalie Deal PA C
Natasha Sriraman MD
NEIGHBORHOOD HEALTH SERVICES CTR
Nemours Childrens health
Nesbit, Douglas MD
Newhall, Lauren M.
Newman, William
Newton, Clark MD
Newton, Sterling MD
Ngwang, Brownhilda
Nicole Scalise Wimmer
Nicole Wimmer
Nicole Wimmer
Nicole Wynn, MD
NicoleWimmer
NIMIR, NUSTAFA
Nirupma, Sharma
Noel, Isreal, MD
North Augusta Pediatrics
North Augusta Pediatrics
North Jefferson Medical Center
Nurse Mathis LPN
Nutrition Specialist
Oatman, Kim RN
Oconee Fall Line Technical Colle
Ogeechee Tech College Staff, RN
Okungbowa
Onslow Pediatric Associates
Optim Primary
Optim Primary Care
Optometry Clinic, EAMC
Orbic Eye Caree
Owens Jr, Ralph G. MD
P.Hawkins
Palmetto Pediatrics
Pamela Wagar
Park, Yong D. MD
Parker, Yong D. MD
Parks, MD
Patel
Patkel, Firoz MD
Paul Glasser
Paula Young, LPN
Paula Young, RN
Payne
PAYNE, F. MD
Pediatriac Covenant
Pediatric Associates
Pediatric Associates
Pediatric Complex Care Clinic
Pediatric Continuity Clinic
Pediatric Covenant Med.
Pediatric Partners of Augusta
Pediatric Primary Care
Pediatric Primary Care
Pediatric Primary Care Associate
Pediatric Resident Primary Care
Pediatric Speech Therapy Service
Pediatric/Adolescent Medicine
Pediatrics Associates
Pediatrics of Children MCG
peds. Pulmonology
Peeples M.D. Johnny R.
Pelletier, Allen MD
Pence, J. MD
Pendergrast Robert
Penn, F.
Pennsylvania Office of Child Dev
Peralta, Kathryn
Pereira, Graham MD
Perez Robert MD
Perkins, MD
Perry, Amber O. DMD
Peter
Peter
Peter
PETER
Peter, Sherma MD
Petter Keefe, MD
Pfeifer, Andera MD
Phoebe Lenhart MD
Phoenix Pediatric
Physician United
Physicians Health Group
Physicians Health Group
Physicians Health Group
Physicians Practice Group
PICKETT, CHARLTON J. MD
Pierce
Pierce, Rebecca
Pilcher Pam
Pilcher Practice
Pilcher, A
Pilcher, Alton
Pilcher, JR RN
Pilcher, Reginald MD
Pintavorn, Vanitcha MD
Polhil, J MD
Poon, Glenn MD
Porter Family Medical Clinic
PORTER MEDICAL CLINIC
Potter
Potter
Potter, A.
Powell, Angie MD
Powell, Mary M MD
Powell, Otis
Powellson,Matthew
Powers To Be Consultant
Prevent Blindess
Prevent Blindess Ga. Starpupils
Prevent Blindness Georgia
Prevent Blindness of GA
Prevent Blindress Georgia
Primary Care Associates
primary health care Inc.
Professional Hearing Clinic
Pulicottil, M. MD
Qureshi, Zafar, MD
R. McShane
R. Talley
R.Colvin
Rachael Smith, MD
Rainbow Kids Clinic
Rainge, Louvenia DMD
Ramon Ramos
Ramon Ramos
Rani Reddy
Ranjan K Avasthi, M.D.
Rao, MD
Rassekh Riaz
Ray, James M.D.
Rebecca B. Hopkins
Reda Wadie Bassali
Reddy, Swaroop MD
Relpha Escalona- Cruz
Relpha Escalona-Cruz
Renew, Margaret MD
RHOADES, ROBERT MD
Richardson,Vanessa MD
Richmond Co. BOE
Richmond County BOE
Richmond County Healt Department
Richmond County Health Departmen
Richmond County Health Dept. So
Riley, Thad MD
Rina Patel
Rite Aide Pharmacies
Robert A. McShae
Robert Benson
Robert Pendergrast, M.D.
Robert Sikes
Roberts MD
Roberts, M MD
Roger Beville
Rosa, Antonio M.D.
Rosales, Vince MD
Rosland Womack
Ross, LaTasha
Russo, Tanya M.D.
S. Perry
S.Jones
Sabrino Dr.
Safford Jones
Safford Jones
Sanders, Harvey MD
Sandhills Pediatrics
Sandra Goldring
Santini, Juan Colon MD
Santo Nino Pediatric Clinic
Sapp
Sapp, Erica
Sapp, Erica MD
Sarah Spriet
sarah spriet
Sardis Family Practice
Savannah integrated Pediatrics
Savannah Neurology
Savannah Pediatrics
Savannah Pedriatrics
Savannah Speech & Hearing Center
Sawyer, H
Sayers, MD
Scarborough, Charles Jr MD
Scarborough, Grant MD
Schmidbauer, K
Scoggins Jennie
Scott
Scott Standford
Scott, Edwin MD
Screven County BOE
Screven County Health Dept
Screven County Hospital
SEIBERT, KEITH M. MD
Sekull
Semrin, Asmaa
Sensational Kids
Sewell, Jesse
Shaffer Shawn
Shah, Darshan MD
Shannon Myers
Shannon Myers
SHARMA KAILISH
Sharma Nirupma
sheila overton
Shellito, Robin, PA-C
SHEPPARD, CHRISTOPHER MD
Sherma Peter
Sherma Peters
Sherma Peters
Sherma Peters
Sherman Daniel Dr.
Shroff, K.
Sickles, Amy L. MD
Sidney Johnson
Sidney Morgan
SIDNEY MORGAN, M.D.
Simmons, Robert, Jr. D.D.S.,P.C
Slocumb, Claire Lise M.D.
Slocumb,Claire
Small Talk Therapy Services
Smiley Carla
Smiley, Carla MD
Smith Rural Health Clinic
Smith, Connie MD
Smith, Krystal
Snellville Pediatrics
Sobrinho, Tito MD
Sonali Harshman
Sooner Pediatrics
Soos
Soos
Soos
Soos Pediatrics, M.D.
Soos Pediatrics, P.C.
South Augusta Medical
South Care Medical Center
South Georgia Pediatrics
SOUTHCARE MEDICAL CENTER
SouthCoast Health
Southeastern Audiology
Southern Allgery and Asthma
Southern Creasent Ped, PC
Southern Family Medical Center
Southern GA Pediatrics
Southern Medical Center
Southern Speech
Southside Pediatrics
Spinnato Dyan M.D.
Squires
St Joseph
St. Joseph's/Candler Medical Gro
Stafford
STAGLIER, MD
Stallings, L MD
Stallworth, Clay M.D.
Stamper
Stamper, Scott MD
stansfield mindy
Starpupils Prevent Blindness
Statesboro Children's Clinic
Statesboro ENT & Sinus Center
Statesboro Family Practice
STATESBORO HEALTH DEPT.
Statesboro Pediatric Clinic
Statesboro Pediatrics
Stefani Samples
Stefani Samples
Step By Step Pediatric Therapy
Steve Moore, MD
Still, William MD
Stout
Strickland, Suzanne MD
Stteinmyer A
Suer, Susan MD
Sukumaran, Suraj MD
Sulton Pediatric Group
Sumter Pediatrics
Suraj Sukumaran, MD
Susan Dickerson
Susan Goldberg
Susan Trawick
Suzanne Strickland
Swainsboro Health Care
Sweetgrass Pediatrics
T. Pedigo
Tanenbaum, JB MD
TANNABAUM, MD
TANNEBAUM, MD
Tanner, Robert MD
Tarbutton, Jennifer
Tarbutton, Jennifer
Tattnall County Board of Health
Taylor Foy
Taylor Foy
Teresa Cayton
The Center for Pediatric and Ado
The Children's Center
The Children's Group
THE CHILDRENS' GROUP
The Pediatric Center
The Pediatrics Office
Therapeutic Intervention
Therapy Spot
Therattil, J.
Therattil, Jayla Mary MD
Thielke, Fredrick MD
Thomas, Jennifer MD
Thompson, Carol
Thompson-Armant, Carol MD
Thomson Pediatrics
Threadgill Matthew
TIFFANY, JOHN B MD
Timothy Dare Jr.
Timothy Kinsey
Tinley, James MD
Tinley, Sandra MD
Tippett Eye Care
Toombs County Board of Health
Total Health Center/Gerguis
Towner, Susan R. MSN, APRN, BC
Tran, Rosa MD
Treetop ABA Therapy
Treutlen Health
Tri County Health System
Triay, Julio, APRN
Tricare
Trimor, Juanita M.D.
Trina Peduzzi
Trinity Hospital
troup
Troy Hutcheson -PAC-Jacksonjr
Turner, Kevin, Ph.D.
Turning Point Hospital
Twain City Health Dept.
Twin City Health Department
Univerisity Medical Ass. Ped Dep
Universitly Primary Care
University Hospital
University Hospital General Peds
University Hospital/MCG CMC
URGENT MD
USC Aiken
Vahanvvaty, Ramalah MD
Valcourt Pediatric Associates
Valcourt Pediatric Associates
Valerie Ertle
Valrie Ertle MD
Value Vision
Vaness Miller
Vanitcha Pintavorn,MD
Varghese, Jason MD
Vega, Roger MD
Vernon, Michael MD
Vickery, Christopher
Vicki Beckhum
Victoria Family Practice
Vidalia Children Center
Vidalia Pediatrics
Vinson Health Center
visionwork
Vivar
Vivar, Lucero MD
Vova, Joshua M.D.
W. Wheeler Ophthalmology
Wal-Mart Vision Center
Ward, Paige. MD
Warren County BOE
Warren County Health Dept.
Warrenton Medical Center
Washington County Health Dept
watkins,elizabeth
watson,kianna
Waycross Public Health Departmen
Waynesboro Medical Center
Weaver, Abraham J. MD
Weitzner, Jordan
Wellstar MCG Health
West Augusta Pediatrics, P.C.
West Wheeler Pediatrics
Westgate McGuinness
Whitlock 111, MD
Widjaja, Courtney, MD
Wiley, Daryl
WILLIAM CANNADY
William, Weston MD
Williams RN, Alberta
Williams, Karena CVS
Williams, Nicole RN
Williams, Robert J M.D.
Williams, Ty DMD
Williams-Willingtam Melinda
williamson, jessica
Williford, Kathyrn
Wilson's Garden of Hope
WILSON, MD
Wilson, Nathan MD
Wimmer, nicole
Winford Dr.
Witherspoon, Pamela MD
Wittingslow, Edward MD
Wolf, Jamie
Wolf, Jamie
Woodard Michelle MD
Wright Easterlin,PC Johnson and
Wrightsboro Medical Center
Yandale, M. MD
Yang, Rebecca
Yingling, Kristen MD
Yolanda Saffor Jones, MD
Yolanda Safford Jones, MD
Yun, I W MD
Zeanah, Michelle MD
Dental Coverage
Children's Health Insurance Program (CHIP)
Medicaid
No Insurance
Other
Private Health Insurance
Dental Coverage Number
Dentist/Dental Home
A C Pediatric Dentistry & Ortho
Advent Dental
Aiken Dental
Ajayi, Phillip
Akindeko Obebe, DMD
Albert Rabin DDS
Alexander Dental Associates
Alexander Pikus, DMD
Alexander, Sean DMD
Allen, Brandice
Allsion Buchanan DDS
Amber Hughes, NP
Amber Ivey DMD
Ambrose John
Ambrose Pediatric
Ambrose Pediatric Dentistry
Amerigroup
Anderson Family Dentistry
Anderson William G DDS
Andrea Byrd,
Andrew Hamilton
Andrew Jenzer
Andrew Wright
Ashcraft, Deborah DMD
Aspen Dental
AU Dental Associates
AU Pediatric Dentistry
Augusta Children dental center
Augusta Children's Dental Center
Augusta Children's Dental Center
Augusta Dental Associates
Augusta Family Dental
Augusta Oral Surgery Specialists
Augusta Pediattric Associate
Augusta SmileCare
Augusta Smiles Youth Dentistry
Augusta University Dental Colleg
augustqa family dental
Avery, David B. DMD
Baker, Lee DDS
Baker, Lee, DDS
Balch, C.
Barnwell Family Dentist
Barton Chapel Dental
bassali, Bassel, Dr.
Bellamy Jimmy
Bellamy Jimmy,DDS
Bellamy Jimmy,DDS
Bennette, MD
Berry, Robert DMD
Bettis Academy Denistry
blalock, John DDS
Blanco, Rosa DD
Blount, Latimer DD
Boris Sidow,DDS
Boynton.L
Branchal, Caoline
Brantley David
Brantley, Chad DMD
Brantley, David DDS
Brantley, Will DMD
Brewton, Teresa DMD
Brinson, Billy Jr. DMD
Brittingham Kathy DMD
Brown, Dr.
Bruce Riggs, DMD
Brunson, Charles DMD
Buford Dental Group
Burke County Health Dept
Burke Dental Center
Butzon Corey
C. Troup
capuy, h
Carlos Martinolas
Carlson, Andrew, MD.
Carolina Children's Dentistry
Carroll Clark M, DDS
Center for Pediatric Dentisry
Chad Thomas
Chandler, MD
Chandler, Andrew DDS
Charleston Dental & Braces
Children First Pediatric Clinic
Children's Hospital of Georgia
Chris Chance Family Dentist
Christ Community Dental Clinic
Christopher Cotterill DMD
Citineni, Sindhura DDS
Claxton Smiles
Clay Stallworth
Clayes, Michele DMD
Coastal Kids Dental & Braces
Coastal Kids Dental and Braces
Coleman, Harry DD
Colley, Byron
Collins, Blake DMD
Cook, Danny, RDH
Cooper, Katherine DMD
Cornella, Martin
Cough, Lenore G. DMD
Court, V.
Courtney Babb
Cowgill Cary
Craik, Mackenzie H., DDS
Crowden, DMD
Dahl
Dahl, Christian
Dainel Boyd
Daniel Boyd
Darshanjit Pannu
David
David Johnson
David Brantley
David Thomason
debbie benoit harris
Deborah A. Ashcraft, DMD, PC
Deborah Merkerson
Denmark Dentistry
Dental Associates Of Grovetown
Dental College of Georgia
Dental College University
DENTISTRY FOR CHILDREN
Dentistry for Children
DENTISTRY FOR CHILDREN CORPORATE
DMD John Tutay
Dogwood Pediatric Denstistry
Dogwood Pediatric Dentistry
Dogwood Pediatrics of Savannah
Dominique Paul DDS
Dorothy Dorsey, LPN
Douglas, Clepper DMD
Downtown dental
Dr. Chad W. Thomas, DDS
Dr. John Ambrose,DDS
Dr. Kinnard
Dr. Schafe
Dr. Sikes
Drake, Jennifer M.D.
Durst
Durst III,Marion F DMD
Durst, Marion DMD (Harlem)
E. Sterett
East GA Center for Oral
East Georgia Dental for oral and
Echols, J. Martin DDS
Echols, Steve
Eishenhower Medical Center
Elaine N. Godbee,DMD
Eleonora Jenkins DMD
Elerson, J. H. DMD
Elizabethtown Dentistry For Chil
Elliot P. Schlang DDS
Emanuel Dental
Emanuel Dentistry
Erica Greene,DDS
Erick Pagan, DMD PC
Ericte Duits
Erin Ellington
Etheridge, Victor
Evans Dr.
Fabulous Smiles Atlanta
Faircloth,David
Fall Christopher
Family and Cosmetic Dentistry
Family Denistry
Family Dentistry
Family General Dentistry
Family Medicine Clinic
Family Practice Physician
Fatima Zahora, DDS
Finch, James B DMD
Fisher, David
Flanagan, Connie DD
Fort Garden
Fort Gordon
Frank Durst
Franklin, Edmond DMD
Fred Thielke
Furmanski, Katherine
Ga Public Health School Dental
Gaines, Varnell DD
Gamble, William DMD
George Hall, DMD
George, Jessica DMD
Gilbert
Glascock County Health Dept
Goel, A. Dr.
good john dr.
Good, John DDS
Gordan Collins, DMD
Gotschalk Kaitlin
Grantham,Timothy
Gregory A Madray D.D.S
Griffin, Gregory M DMD PC
GRIFFINS, DMD
Grovetown Family Dental
GRU COLLEGE OF DENTAL MEDICINE
GRU Dental Clinic
GRU Pediatric Dentistry
Gunby, Tonya DMD
Hall, DSD
Hannan,Fred M Sr.
Hannon, Fred DMD
Hardy, Ben DMD
Harlem Family Dental
Harrison, J. DMD
Harvird, J. M. DMD
Hasan Syed
Hasim Momin, DMD
Help A Child Smile Dental Mobile
Henry G. Hall
Herschel Jones
HICKERY M.D.
Hiey Phan
Hodges, Susan DMD
Hometown Family Dental
Hooker, L. DMD
Howard Dental
Hubbard
HUGHES, CAROL DDS
Hughes, Kelly D.M.D.
James Ford
Janet Warnock
Jason McGibony
Jayne, Kristina, MD
JEFFCOAT, TONYA MD
jefferson health department
Jenkins, Eleonora DMD
Jennifer Bates
Jenzer, Andrew, DDS
Jessica George, DMD
Jimmy Bellamy
Jimmy Bellamy
Jimmy Bellamy, DMD
john ambrose
John Angelo
John Davis
John Hellmen, DMD
John Pournelle, Jr. D.M.D.
John R. Herman
John W. Spratlings, D.M.D.
Johnson, Eddie P. III, DMD
Jone, Kemp OD
Jones Sky
Joplin
Jose Catabog MD
Karyl Bebtal
Karyl Patten
Karyl Patten
Katcoff, Gary DD
Kathryn Boyd
Kathryn McCusker
KEEGAN, LAWRENCE DMD
Kelly Lane MD
Kelly W. Hughes
Kelly W. Hughes D.M.D
Kids Dental Zone
Kids Dentistee
Kids First Dental & Braces
Kids First Dental- Greenwood
Kidz Korner Dentistry,LLC
Kitchens,Dewey DDS
kitfex pediatric dentistry
Kong, Jeni DMD
Kool Smiles
Kool Smiles
Kool Smiles
Kool Smiles Dentist
L Jason Payne
Lake, Russell W. M.D.
Lakeside Pediatric Dentistry
Laquinta Elim
Lazari, Dr.
Lee Baker, DDS
Leeng, Carilyn, DMD
Leroy Justice
Leroy Justice
Les J.KicklighterDMD PC
Lincolnton Family Dentistry
Long
Long William G
Louis, Shellie DMD
Lucas and Thomas Family Dentistr
Lucky, David A. DMD
Mackenzie H. Cralk, DDS
Macon Oral Surgeries
Makerson, Deborah DDS
Makerson, Deborah DDS
manmder manhiam
Martinson, Craig DDS
Martinson, Maria H. DMD
Marz, DMD
Matthew Carithers
Maya Fletcher
McCallom, Tamara
McCaslin, Alston DMD
MCG
MCG Dental
MCG DENTAL CLINIC
MCG Dental School
MCG Pediatric Dentistry
Mcgahee, Dwayne, DMD
Mckinley Family Dental
Mckinney Community Health Center
Mcleod,
MEDCURA HEALTH INC
Medical Associates Plus Belle
Medical Assosciates in Augusta
Medical Specialist Inc.
mednow
Michael L Minyard
Michael Milano, DMD
Michael Thompson, DMD
Micheal L. Minyard
Milgrom, Marina, DDS
MILLER,PHILLIP DMD
Mini Smiles Pediatric Dentistry
Mollica Anthony
Monroe, Charvette Evans DDS
Moore Dentistry
Morgan, Nancy DMD
Morris Dental Associates
Morrison Dental Associates
Moses, Mirrial DMD
Moses, Tina DMD
Mt. Health Family Pratice
Mullins Colony
Murphey, Julian I. DDS
Napir
Napir
Neal, Thomas J. Jr. DMD
Neighborhood Improvement Project
Nesbit, Douglas MD
Newton, Sterling MD
Nichole Madison, DDS
Nichols, Aja DDS
Noahs Ark
Obebe Akindeko
Obebe, Akindeko DMD
Oliver
One Smile Away
One Smile Away
Oral Facial
Owens
Owens, Ron DMD
Parker Cudd
Parris, David DMD
Paul Glasser
Peach Orchard Dentistry
Peacock, DMD
Pediatric Dental Clinic
Pediatric Dental Specialist
Pediatric Dental Specialists PC
Pediatric Dentistry
Pediatric Dentisty Of Central Ge
Pediatric Partners of Augusta
Pellerin, William DMD
Pereira, Graham MD
Perry, Amber O. DMD
PERRY, DAVID DMD
Physicians Health Group
Pickard, Curtis DMD
Pittman, MD
Pohlmann, Bernard DDS
Pooler Family Dental
Porter, Cedric E
Powell, Hudson DSD
Prism Dental Pc
Ragan Justin, DMD
Rainge, Louvenia DMD
Randall Arnold
Rausch, Jeffrey D.
Real, William DMD
Reddy, Swaroop MD
Reginald Makerson, DDS
Richard Callan DDS
Richard Zebell
Richmond Co. Health Dept.
Richmond County Dental Clinic
Richmond County Dental Clinic
Richmond County Healt Department
Richmond County Health Departmen
Riverwood Dental Care
RJ Robinson
Robert Simmons, Jr.
Robles-Velez,Jennibeth
Rockman, R. M.D.
Rocky Napier
Rodney Tom,DMD
Ross, Dr. Blake DMD
Sabrino Dr.
Sally Young, DMD
Savannah Smiles
Scott
Scott Schlofman
Screven Dental
Serenity Dental Care
Shelia Walker
Shellie Louis, DMD
Shurett, Mark DDS,PC
Sikes, C
Simmons, Robert, Jr. D.D.S.,P.C
Simply Children Dentistry
Sims, Fred M DDS
Small Smiles
Small Smiles
SMALL SMILES DENTAL CLINIC
SMILE CENTER OF AUGUSTA
Smile Now Dental Clinic
Sonali Harshman
Southern Family Medical
Southern Smiles Peds Dentistry
Sparkle Family Dentistry
Spearman, Barbara DDS
Spencer, Campbell DDS
Spinnaker Pediatric Dentistry
SPRATLING, JOHN MD
Spratling, John W. DMD
SPRATLING, JOHN W. DMD
Stacey Davis
Stacy Davis
Stallings
Statesboro Children's Dental Cen
STATESBORO DENTAL ASSOCIATES
Statesboto Pediatric Dentistry
Sterett
Steven Echols
Summerville Dentistry
Susan Jones, DMD
Swainsboro Dental
Swainsboro Dental Center
Swainsboro Dental Center
Sword, Rhoda
T Bonasso DMD
Tanya Shores DMD
Tara Schater, DMD
Terrance Vandiver ,DMD
Terrence Vandiver
Terry Lyle
Tewogbade,Adesegun
The Children's Group
Thielke, Fredrick MD
Thomas Dental Center
Thomas, Chad Dr. DMD
Thomas, Feon DMD
Thomas, J.Neal,Jr. DMD
Thompson, David DMD
Thomson Dental Wellness
Tielke
Tina Moses
Tom, Daryl DMD
Toombs County Dental Clinic
Tri County Dental Clinic
Tricare
Tyjuana Williams
Univerisity Medical Ass. Ped Dep
University Hospital Dental Clini
Urgent Dental Services
Utermark
Uttermark, Barbara
V. Etheridge, DMD
Valcourt Pediatric Associates
Vansssa Bundy
Vinh Vuong
Vivar
Wadley Dental
Wadley Family Dental
Wasdin, John L DMD
Waynesboro Family Dentistry
West Haven Pediatric Dentisry
Westmoreland
Westmoreland, William DMD
Wheeler, Julia
Whigham, Rebecca DMD
Wilkes County Health Department
Will Brantley
william Kenedy
William L. Whatley, DMD. PC
William Noggle DMD
William Odom Jr
William Real
Williams
Williams, Ty DMD
Winford Dr.
Worden, William J., DDS
Wrens Medical Center
Wrightsboro road Dental clinic
Xiang Li LCDR.DC,USN
Yeal Elfassy,MD
Young, Sally DMD
Zebell, Richard MD
Ziad Ahmadie
Does your child have a disability or do you have any concerns about your child's development?
Yes
No
Is there anything else you want to tell us about your child?
Location Preferences
Which program are you applying for? (Required)
Early Head Start
Free (6wk to 34mo)
Location Preference
<p></p>
1st Location Preference
<p></p>
2nd Location Preference
<p></p>
3rd Location Preference
<p></p>
- Your Address
- Available Locations
Click a location on the map to see more info
Click here
to find a provider in your area.
Additional Applicant
Do you want to apply now for another child in your family?
Add Another Applicant
Siblings
Are there other children in the family?
Add a Sibling
You have one last step after you select save and continue. The next screen allows you to "Upload Documents". Please, scan or take a picture of the documents and upload them using your phone, computer or IPhone. Please, select save and continue.
Required information is missing, see above.