Donated Orthodontic Services

Since 2009, American Association of Orthodontists (AAO) members have volunteered to provide high-quality orthodontic care for children of families with financial need. DOS Orthodontists have already provided more than five million dollars in treatment for 914 patients, nationwide.



Is your child eligible for the DOS program? Learn more about the requirements here.


Understand how the DOS process works with a breakdown of each step.



Submit an application online today or download a printed application.

Is my child eligible?

    • Is your child 18 years old or younger?
    • Is your total family income 200% of the poverty level or less? (see chart below)
    • Is your child not currently in braces or between phases of treatment? (DOS Patients cannot already be in braces or between phases of orthodontic treatment.)
    • Does your child receive regular dental care and have good oral hygiene?

If you answered “Yes” to all the questions above, your child should apply for Donated Orthodontic Services.

Number of People in your Household

United States Maximum Yearly Income

(Excluding Alaska & Hawaii)


Max Yearly Income


Max Yearly Income





























DOS program income guidelines follow 200% of the Federal Poverty Level (FPL).

The United States Department of Health & Human Services establishes the Federal Poverty Level and adjusts annually.


Donated Orthodontic Services Process:



Step 1:

Parent, Guardian, or Custodial Adult completes the application that includes (income verification documents, About My Child Questionnaire, and Dental Referral Form).

Important: Due to increased demand, applications missing any of the above items will not be reviewed or considered.


Step 2:

Applications are reviewed quarterly based on the schedule below. Once your application is reviewed, the DOS Program Coordinator will reach out to verify information and update your child’s status in the program. We appreciate your patience.


Step 3:

If your child is approved for the Donated Orthodontic Service program, we will attempt to locate a volunteer Orthodontist near your home. Depending on the area, there might be a considerable wait. 


Step 4:

When a volunteer Orthodontist is located for your child, you will be contacted by the DOS Program Coordinator to collect a $200 administrative fee. The fee goes directly to benefit the Donated Orthodontic Services program, and the treating Orthodontist does not receive any part of the fee.

Important: Applicants that complete the application process and move forward for consideration will be asked to submit photos to demonstrate their orthodontic need.


How do I apply?

To be considered for the Donated Orthodontic Services Program you must provide the following:

Attachments can be uploaded in the application or faxed to 314-689-0293.

1. Income Verification (1040, SSI, etc.)

Parent or guardians must attach a copy of last year’s federal tax return (1040/1040EZ) or Social Security (SSI) award letters for each household member with this application for review. Your child must be listed as a dependent in your household. Please note: W2’s and/or pay stubs will not be accepted for income verification.


2. About My Child Questionnaire

Please have your child take their time and complete the questionnaire. Download questionnaire: ENGLISH | SPANISH


3. Dentist Referral Form

Your child’s general Dentist should complete the form to ensure that your child has maintained good oral hygiene, is free of dental issues (including cavities), and is in need of orthodontic treatment: DOWNLOAD FORM.


4. Application

View online application. If you are not able to complete the application online, please print one here: ENGLISH | SPANISH



The American Association of Orthodontists, the American Association of Orthodontists Foundation, and the Donated Orthodontic Services Program are committed to increasing access to orthodontic healthcare while ensuring all program participants, both prospective and active, are treated with respect and dignity.   To this end, the DOS Program stands steadfast against discriminatory conduct and prohibits treating any applicant or participant differently or less favorably due to their race, color, religion, sex, sexual orientation, gender identity, national origin, or disability.  This policy applies to the practices of DOS staff and its volunteers, both of whom are dedicated to providing an inclusive and welcoming program.