Thank you for your interest in the Sheltering Arms. Please note, completing an application DOES NOT guarantee enrollment in the program. This pre-screening application starts the process of determining your eligibility. Please read and answer each question that is applicable to your family. If you have previously submitted an online application, DO NOT attempt to reenter or submit a new application. It will cause errors and delay the process.
Parent/Guardian
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)
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
Multi-racial/Biracial
Native Hawaiian/Other Pacific Islander
Other
Unspecified
White
Hispanic
Yes
No
English Proficiency
Little
Moderate
None
Proficient
Other Language
African
American Sign Language
Carbbean
East Asian, Chinese/Vietnamese
English
European/Slavic
Middle Eastern/South Asian
Native Central/South American
Other
Portuguese
Spanish
Highest Grade Completed
Advanced PhD or higher
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
Employment Status
Full-time & Training
Full-time (35 hours/week or more)
Part-time & Training
Part-time (Under 35 hours/week)
Retired or Disabled
Seasonally Employed
Training or School
Unemployed
Child's Relationship
Biological/Adopted/Step
Foster
Grandchild
Other
Other Relative
Custody
Yes
No
Lives with Family
Yes
No
Provides Financial Support
Yes
No
Teen Parent
Yes
No
Address
You must provide your current address. Sheltering Arms cannot accept a P.O. Box as your living 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 to the child you are applying for.
Is there another parent/guardian in the family?
Yes
No
First Name (Required)
Middle Name
Last Name (Required)
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
Multi-racial/Biracial
Native Hawaiian/Other Pacific Islander
Other
Unspecified
White
Hispanic
Yes
No
English Proficiency
Little
Moderate
None
Proficient
Other Language
African
American Sign Language
Carbbean
East Asian, Chinese/Vietnamese
English
European/Slavic
Middle Eastern/South Asian
Native Central/South American
Other
Portuguese
Spanish
Highest Grade Completed
Advanced PhD or higher
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
Employment Status
Full-time & Training
Full-time (35 hours/week or more)
Part-time & Training
Part-time (Under 35 hours/week)
Retired or Disabled
Seasonally Employed
Training or School
Unemployed
Child's Relationship
Biological/Adopted/Step
Foster
Grandchild
Other
Other Relative
Custody
Yes
No
Lives with Family
Yes
No
Provides Financial Support
Yes
No
Teen Parent
Yes
No
Family Information
For number in family: Sheltering Arms define 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 care giver or legally responsible party. Please answer "Yes" for TANF, SNAP and WIC if you are currently receiving these benefits. 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.
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
American Sign Language
Carbbean
East Asian, Chinese/Vietnamese
English
European/Slavic
Middle Eastern/South Asian
Native Central/South American
Other
Portuguese
Spanish
Is another language being acquired or learned at home?
Yes
No
Number in Family
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
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)
If your child has an IEP or IFSP, chronic condition like asthma, diabetes, seizures, allergies, dietary restrictions please enter the details in the notes at the end of the application and upload supporting documents in the upload attachments section.
First Name (Required)
Middle Name
Last Name (Required)
Suffix
Nickname
Birthday (Required)
Gender
Female
Male
Race
American Indian or Alaska Native
Asian
Black or African American
Multi-racial/Biracial
Native Hawaiian/Other Pacific Islander
Other
Unspecified
White
Hispanic
Yes
No
English Proficiency
Little
Moderate
None
Proficient
Other Language
African
American Sign Language
Carbbean
East Asian, Chinese/Vietnamese
English
European/Slavic
Middle Eastern/South Asian
Native Central/South American
Other
Portuguese
Spanish
Other Language Proficiency
Little
Moderate
None
Proficient
Primary Health Coverage
Children's Health Insurance Program (CHIP)
Combined Medicaid/CHIP
Medicaid
No Insurance
Other
Private Health Insurance
State-Only Funded Insurance
Other Coverage
Children's Health Insurance Program (CHIP)
Combined Medicaid/CHIP
Medicaid
No Insurance
Other
Private Health Insurance
State-Only Funded Insurance
Medicaid Eligibility
Not Eligible
On Medicaid
Potentially Eligible
Doctor/Medical Home
1st Georgia Physician Group
A Kid's World Pediatrics
A. Yasmin M.D.
ABC Pediatrics
Abena Koram
Absolute Care Pediatrics
Adamsville Regional Health Cente
ADEBAYO AKINSOLA
Ahmed Family Practice
Akey, Kenneth MD
Alan K Cu Chiam MD
All About Kids Pediatrics
All Starr Pediatrics
Allie Horne
Amaris Daniels MD
Amazing Pediatrics
American Academy of Pediatrics
Ana Combes Osacar, MD
Ana Grosso, MD
Angelita Covington
Anwan Wellness Medical Center
Apple Tree Pediatric Dentistry
Asa G. Yancey Health Department
Ashley Blayton
Atlanta Allergy & Asthma
Atlanta Medical Clinic
Atlanta Pediatric Partners
Audiology Services-CCSD
Aylo Health Pediatrics Ellenwood
Bassam Tomeh
BayBol Pediatrics
Baybol Pediatrics Atlanta Akinso
BCW- Fulton Health District
Beatrice Clodomir
Beatrice U Von Zeschua Wilder
Beftu Teklu
Benjamin H Roberts Kaiser
Bi County Pediatrics
Brad C. Weselman
Brent Speer
Briarcliff Pediatrics
Bridget Dauphin
Brookhaven Health Center
Bruce Beeber
Bruner Family Medicine
Burgess Latasha/ MD
Burns, V
C. Malvoisin
Camp Creek Comprehensive Care
Camp Creek Pediatrics
CareSource
Carlos A Escoba
Cascade Pediatrics
Catherine G Warner,MD
Center for Pediatric Wellness
Charla Poole
Charles B. May Jr. MD
Chaudhari Rajani MD
Cheryl Kendall
Child's Primary Care Physician
Children's 1st Pediatrics
Children's Care Pediatrics
Children's Healthcare of Atlanta
Children's Medical Group
Children's Medicine
Children's Medicine
Children's Medicine PC
Children's Physician Group
Children's Wellness Center
Childrens Medical Services
Chin, Nicola MD
CHOA - Advanced Pediatrics
CHOA - Chamblee
CHOA - Egleston
CHOA - Hughes Spalding
CHOA - Hughes Spalding
CHOA - Scottish Rite
CHOA Health Navigator
Christian Ohagwu MD
CJ Pediatrics
Claire Wilkiemeyer MD
Clayton County Board of Health
Clayton County Public schools
Clifton Springs Health Center
Clinica Union, Inc
Cobb County Health Department
Cobb Pediatric Associates
Cobb Pediatrics
College Park Regional Health Dep
Communicare Therapy Services
Community Advanced Practice
Community Advanced Practice Nurs
Comprehensive Primary
Cooper Pediatrics
Courtney Whittle MD
Covenant Care Pediatrics
Creekside Pediatrics
Crystal L White MD
Cumberland Pediatrics
Daffodil Pediatrics & Family Med
Daffodil Pediatrics & Family Med
David Hammad
Decatur Pediatric Group
Decatur Peds
Dekalb County Boad of Health Vin
Dekalb Health Center
Dekalb Pediatric Center
Dekalb Pediatrics
Delta Pediatrics
Dentistry & Orthodontics Kennesa
Dentistry for Children
Dentistry for Children (Douglas)
Department of Public Health
Dickerson
Dikkala
Donna Edmond-King MD
Douglas Pediatrics
Douglas Public Health
Douglasville Family Practice
Doyle, Yolanda MD
Dr Carolina Hernandez (Kaiser)
Dr Haummad
Dr Jocelyn Collins (Kaiser)
Dr Kelly Wilburn
Dr Khalid Ghazala
Dr Maribel-Angka Severa
Dr Shelly Ann Salandy
Dr Shinte Liu
Dr. Akbar
Dr. Annisha Ellis
Dr. Aparna Peethambaram
Dr. Ashley Williams
Dr. Babatunde Onasanya MD
Dr. Bentley
Dr. Blackwell
Dr. Booker
Dr. Brittany Wilson
Dr. Brutus-Darius
Dr. Byron C. Cotton, MD
Dr. Byron Cotton
Dr. Charlene Johnson
Dr. Cherry
Dr. Chin
Dr. Cole
Dr. David King
Dr. Dekisha Pendergrass Drayton
Dr. E Norwood
Dr. Elizabeth Wachter
Dr. Gabraella Drake-Forte, MD
Dr. Gaffney
Dr. Gary
Dr. Gilrane
Dr. Herron
Dr. Hill
Dr. Jackson
Dr. Jennifer Shu
Dr. Jennifer Thomas
Dr. Julian Gorvy
Dr. Julie Segal
Dr. Kerith S Rudnicki
Dr. Leard
Dr. Levine
Dr. Lindsay Ransom
Dr. Luke Beno
Dr. Mcphadden
Dr. Michael Adams
Dr. Natalia Benza
Dr. Norwood
Dr. Paola Suarez
Dr. Parikh
Dr. Phoenix
Dr. Rachelle Dennis Smith
Dr. Radwan Sabbagh
Dr. Robert Platner
Dr. Rodney-Somersall
Dr. Sara H. Goza MD
Dr. Shelley Kim
Dr. Smith
Dr. Teddi Virgil
Dr. Varghese
Dr. Yvonne Smith
Dr.Charlene Johnson
Dr.Darius
Dr.Jodi Greenwald
Dr.Luqman Seidu
Drayton, Drakeyshia
Eagle's Landing Pediatrics Ass.
Earl Young
East Atlanta Pediatrics & Adoles
East Cobb Pediatrics
East Dekalb Health Center
East Paulding Pediatrics
East Point Health Center
Eastside medical Plaza 1
Ebba Ebba K MD
Edgar Melendez MD
Elizabeth D. Norwood
Emory Clinc at Old 4th Ward
Emory Decatur Hospital
Emory University Team
Eva Beaulie
Eve Wexler
Eye Consultants of Atlanta
Family Healthcare of Smyrna
Family Medicine Memorial Drive
Fatima Astacio-Ford
Fayette County Health Department
Fiona Blair
First GA Physician Group
First Georgia Pediatrics
First Medical Care
Franklin Dental
Franklin Dental & Braces
Franklin Dental (Lilburn)
Fredly Bataille
Fulton County Behavioral Health
GC Duluth Pediatrics
Geethika Malla
Georgia State University
Gertrude Arrington MD
GI Care For Kids
GME Family Medicine
Good Samaritan Health Center
Grady Kirkwood
Grady Memorial Health System
Greater Atlanta Pediatrics
Gwinnett Pediatrics
Harper Kenneth
Healing Community Center
Healthpoint Pediatrics
Healthy Kids & Families Wellness
Healthy Kids R US
Healthy Steps Pediatrics
Helena K Bentley MD
Henry Marable
Henry Pediatrics
Herron Pediatrics
Highland Dentistry
Hughes Spalding Primary Care Cli
Huhes Spalding Ronald McDonald C
International Pediatric Clinic
Intouch Pediatrics
Intown Pediatrics
Ivy League Pediatrics
James Lin
Jaqueline Christie
Jennifer Holzen
Jiong Fan, MD
Jonesboro Pediatrics
Josephine T Ediale MD
Just Us Kids Pediatrics
Kaiser Permanente
Kaiser -Sugar Hill
Kaiser Permanente
Kaiser Permanente
Kaiser Permanente
Kaiser Permanente (Cobb)
Kaiser Permanente - Southwood
Kaiser Permanente Brookwood
Kaiser Permanente Gwinett
Kaiser/Cascade Medical Center
Kathie Brichant MD
Kathleen J Smith
Keishaun Proctor
Kendall Jefferson
Kenneth Chen
Kid Start Pediatrics
Kid's Avenue
Kidcare Pediatrics LLC
Kids & Teens Primary Healthcare
Kids First Pediatric Group
Kidz Town Dental
Kimberly Hodge-Spears
Kimberly Winzer
Kolade Obajuluwa
Kuo, Anna MD
Lakimberly Price
Lester Freeman
Life Cycle Pediatrics
Lighthouse Pediatrics
Lloyd Patricia A MD
Longstreet Pediatrics
Mar'Quenda Sanders
Marat Plotkin
Marcus Autism Center
Marie Katrina Tan Lu
Marietta Eye Clinic
Mary Hammock
Mason Pediatrics
McDonough Childrens Specialists
McDonough Pediatrics
Meadow Pediatrics
MedCura Health
Medlock Pediatrics
Medlock Pediatrics
Melamed, Yitzhak A MD
Mercy Care Chamblee
Michele Allen
Midtown Dentistry
Milestone Pediatrics & Family
Mini Smiles Pediatric Dentistry
Minshen Wang
Mohammad Tomeh
Monica Moore
Morales, Daliannys
Morehouse Medical
Mrs. Sheena
Mrs. Shenna
Neighborhood Union Health
Nicholas O Kelley MD
Nicole Kearny
Norcross Pediatric Clinic
Norcross Pediatrics
North Atlanta Pediatric Associat
North Atlanta Primary
North Fulton Pediatrics
Northside Pediatrics
Norwood Pediatrics LLC
Noureen Hussain
Nuestros Ninos Our Kids
Oakhurst Pediatrics
Odyssey Family Counseling
Old Fourth Ward Pediatrics
Ologunja, Kola
Omega Pediatrics
Palmetto Dentistry
PEACHSTATE
PeachState Pediatrics
Peachtree Park Pediatrics
Pearl Pediatrics and Adolescent
Pedia-Doc Children's Medical Ctr
Pedia-Doc Childrens Medical Cent
Pediatric Associates of Lawrencv
Pediatric ENT of Atlanta
Pediatric Healthcare of Conyers
Pediatrics Partners of Gwinnett
Perimeter Pediatrics
Peter Trottier
Piedmont Fayetteville
Piedmont Pediatrics
Potts & Smith Pediatrics
Premier Pediatric Associates
Prevent Blindness
Prevent Blindness
PrimeCare Pediatrics
Princeton Lakes Pediatrics
Rachelle Dennis Smith
Rajani Chaudhari MD
Rashida Avery
Renzo Forsonsani
Robbins-Troupe, Rose
Robert L Whipple IV
Rophe Adult & Pediatric Medicine
Roswell Pediatrics
SA - Health Services Specialist
SA - Nutrition Specialist
Sage Hill Pediatrics
Sandra Golding
Sandy Springs Pediatrics
Sara O'here
Sekar, Guna P. MD
Sekhar C Sankaran
Shah Pediatrics, Inc
Shaleak Brown
Sharon Campbell
Shayna Smith
sheena white
Shonte B Henderson
Sivanthini Hines
Smyrna Public Health Center
Snapfinger Woods Pediatric
Snellville Pediatrics
South Atlanta Pediatric
Southern Crescent Pediatrics
Southern Smiles Family Dentistry
Southside Medical
Southside Medical Center
Southside Pediatrics
Spandorfer, Philip R. MD
Speech Tree
Sridevi Gowravaram
Star Family Health
Stephanie L Poole
Steven Wayne Leard
Stewart, Danita A. MD
Stockbridge Pediatrics
Sugarloaf Pediatrics
Sulton Pediatric Group
Sumter Pediatrics
Sun Pediatrics
Sunflower Pediatrics
Susan Hae Kyung Lee DMD
Suwanee Pediatrics
Suzanne Fox
Suzuna Montana
Sweetwater Pediatrics
Tanner Healthcare
Tarayn Fairlie, MD
Teens Little Ones & Children Ped
Terry McFadden
The Family Health Center
The Family Health Center West En
The Pediatrics Ctr of Stone Moun
Tiffany Billingsly
Total Care Pediatrics
Tri-County Pediatrics
Tri-County Pediatrics (Riverdale
Trinh Nguyen
Trinity Dental & Medical
Tulman Eye Group
United Pediatrics
United Pediatrics Tayaba Fatema
United Way 211
Unity Health Clinic
Uzokwe, Helen MD
Valarie Wright Manley
Veda Johnson
Verras Pediatrics
Verras Pediatrics
Vibrant Kids Pediatrics LLC
Vicki Morgan
Village Pediatrics
Wade, MD
Walmart Health-Marietta
We Care Pedicatrics
Wel Star Family Medical Center
Wellstar (Douglas)
Wellstar Creekside Pediatrics
Wellstar Family Medicine
Wellstar Hiram Pediatrics
Wellstar Kennestone Pediatrics
Wellstar North Cobb Pediatrics
Wellstar Pediatric & Adolescent
Wellstar Pediatric & Adolescent
Wellstar Smyrna Primary Health
Wellstar Urgent Care
Wellstar West Cobb Pediatrics
West Atlanta Pediatrics
West End Medical
West Vinings Pediatric Group
Westcare Pediatrics
Westside Pediatrics
white, sheena
Whitefoord Health Center
William C Warren IV
William Warren
Wilson Eye Center
Windermere Medical Group
Woodstock Pediatric Medicine
Yager Family Medicine
Yamin, Abolhassan
Yasmin Abolhassan
Zaman Pediatric Center
Zucker, Laura M. MD
Dental Coverage
Children's Health Insurance Program (CHIP)
Combined Medicaid/CHIP
Medicaid
No Insurance
Other
Private Health Insurance
State-Only Funded Insurance
Dentist/Dental Home
1st Class Pediatric Dentistry
A Dental Home 4 Kidz
A Smile 4 U
A Smile 4 U
A to Z Pediatric Dentistry
A+ Pediatric Dentistry of ATL
Adamsville Regional Health Cente
Alan J. Stein, DDS and David B.
All for Kids Dental Group
Amy N Smith
Angela Bakke, DMD
Apple Tree Pediatric Dentistry
Aspen Dental
Atlanta Medical Clinic
Atlanta Pediatric Dentist Susan
Atlanta Smiles
Augusta Children's Dental Center
Austell Dental Associates
Aylo Health Pediatrics Ellenwood
Beautiful Smiles at MLK
Beautiful Smiles Family Dentistr
Beautiful Smiles of Camp Creek
Beautiful Smiles of College Park
Beautiful Smiles Orthodontics
BLUSH Dental Studio
Brackett, Cassandra Dr.
Brookhaven Family Dentistry
Camp Creek Comprehensive Care
Camp Creek Dental
Camp Smiles Dentistry
Chapel Hill Family Dentistry
Children & Teen Dental - Suwanee
Children Dental Village
Children's Dental Village
Children's Dentistry at Stonecre
Children's Dentistry of Atlanta
Children's Dentistry Of Douglasv
Children's Dentistry of West Cob
Childrens Dental Group
CHILDRENS DENTISTRY
CHOA-Egleston
Christine P Pham DDS
Clayton County Board of Health
Clayton County Board of Health
Cobb County Health Department
College Park Regional Health Dep
Conyers Dentistry for Children
DDD Dentist
Decatur Camp Kids Pediatric Dent
Dekalb County Boad of Health Vin
Dekalb Health Center
Dent 1st
Dental Franklin
Dental Kids
Dental Now Kids
Dental Professions of Vinings
Dentistry 4 Kids
Dentistry at Kennesaw Pointe
Dentistry for Children
Dentistry for Children (Morrow)
Dentistry for Children - Buford
Dentistry for Children - Roswell
Dentistry for Children Camp Cree
Dentistry for Children Johns Cre
Dentistry for Children Morrow
Dentistry for Children Smyrna
Dentistry For Kids Douglasville
Department of Public Health
Douglas Dental Care
Douglas Dental Studio
Douglasville Dentistry for Kids
Dove Dental Specialists
Doyle, Yolanda MD
Dr. Andy Shehata
Dr. Bashar
Dr. Dana Harris-Echols
Dr. Jeffrey Butts
Dr. Saxon
Dr. Shotwell
Dr. Teresa Jordan
Dr. Terrance Jeter
Dr.Karyl Patten DDS
Dunkelberger, Fred B. DDS
Dwayne L Turner DDS
East Atlanta Pediatric Dentistry
East Cobb Dentitsry for Kids
Emory Clinc at Old 4th Ward
Family and Children’s Dentistry
Family First Dentistry
Family Healthcare of Smyrna
Farrey Implant &Cosmetic Denistr
First Class Pediatric Dentistry
First Class Pediatric Dentistry
Floss 365
Franklin Dental
Franklin Dental
Franklin Dental & Braces
Franklin Dental (Candler Rd)
Franklin Dental (College Park)
Franklin Dental (Lilburn)
Franklin Dentistry (Jonesboro)
Fulton County Health Center
Good Lawrenceville LLC
Grady Memorial Health System
Grant Park Dental Group
Grayson Pediatric Dentistry
Great Expressions
Gresham Detal
Gwinnett Pediatric Dentistry
Happy Children Dentistry
Henderson Mill Dental Care
Henry Marable
Herrin Pediatric Dentistry
Highland Dentistry
Homegrown Pediatric Dentistry
Hughes Spalding Primary Care Cli
J & J Family Dentistry
J. Robinson, RDH
jasmin Owens
Johnny Miller
Jose-Herick T Napenas DDS
Judy Greenlea-Taylor
Kaiser Permanante
Kathleen J Smith
Keith Crawford
Khiem Truong
KiDental
Kids Dental Studio
Knight Family Dentistry
Kool Smiles
Kool Smiles
Kul Smiler
Kwon Pediatrics Dentistry
Laneshia Camp
Lawrenceville Health Center
Lawrenceville Pediatric Dentistr
Legacy Ortho & Pediatric Dentist
Lithonia Pediatrics Dentistry
Little Peaches Dentistry
Little Pearls Pediatric Dentistr
Liu Shinte
Mini Smiles Pediatric Dentistry
Mint Dentistry
Morningside Ped Dentistry
Newton
Nicholas O. Kelley
Norcross Dental Center
North Gwinnett Dental Care
Old Fourth Ward Pediatrics
Omar Damji, DMD
Paul McKoy DDS
Peachtree Childeren Dentist
Peachtree Hills Dentistry
Peachtree Orthopedic
Pediatric Denistry At Vinings
Pediatric Dental Hiram
Pediatric Dentistry
Pediatric Dentistry of Johns Cre
Pediatric Dentistry Oof Newnan,
Pee Dee Dentistry
Perimeter Pediatrics
Plus One Dental
Post Oak Pediatric Dentistry
Powers Ferry Family dentistry
Prantheeta Kumur
PrimeCare Pediatrics
Pure Smiles Dentistry
Riley Swanson
Rossitch Pediatric Dentistry
Roswell Pediatric Dentist for Ch
Sage Dental
Sandy Springs Dentistry for Chil
Shijie Lin
Smile Studio Kids
Smiles For Kids Norcross
Smith Dental Care
Smyrna Dentistry for Children
Smyrna Pediatric Dentistry
Soft Heart Dentistry
Southern Smile
Southside Medical Center
Spears Dental Group LLC
Stone Mountain Dentistry for Chi
Sugarloaf Children's Dentistry
Sunil Singh
Sunshine Dental
Suwanee Pediatric Dentistry
Tauheedah Hollifield
Tebo Dentistry
The Children's Dental Group
Thomas Gavin DDS
Valerie P. Reese
Villa Rica Pediatric Dentistry
Vital Smiles
Wellstar Pediatric & Adolescent
West End Medical
West Georgia Dental
Whitefoord Health Center
Wonderland Pediatric Dentist
Woodstock Dentistry
Young Smiles Dentistry
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)
Infant & Toddler Tuition 2023 - 2024
Infant & Toddler (6 weeks up-to 30 months)
Preschool Head Start
Head Start Program (3 years by Sept. 1st)
Early Head Start
Early Head Start Program (6 weeks up-to 30 months)
Pre-K & Preschool Tuition 2023 - 2024
Preschool (age 3 by Sept 1) & PreK (age 4 by Sept 1)
1st Location Preference
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2nd 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?
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Siblings
Are there other children in the family?
Add a Sibling
After you select save and continue you will be asked to upload your supporting documents. The next screen is the "Upload Document" screen. You can use saved files or take a picture of the documents and upload them using your cell phone or computer. If you do not currently have the documents, you can submit them during the second step of the application. PLEASE NOTE: Your application cannot be processed without the required supporting documents (proof of age, proof of residency and proof of income). If all requested documents have been submitted, you can skip the upload step. Now select save and continue.
Required information is missing, see above.