Bright Smiles
“Braces for Bright Smiles” Community Nomination Form
Helping every child shine with confidence — one smile at a time.
Thank you for helping us make a difference in our community!
Through the Braces for Bright Smiles Program, Braces 520 invites our patients and community members to nominate a deserving child who may not have access to orthodontic care.
Your nomination could help change a child’s life — and their smile — forever.
Privacy Notice
- All nominations are reviewed confidentially by Braces 520. A nomination does not guarantee an award of treatment.
- No identifiable health information is collected or stored through this form.
- If the nominee’s parent or guardian chooses to participate, they will be contacted directly to provide written consent before any further information is gathered.
