New Smile Study Phase 2 | New Life Smile

Find Out If You're Entitled to a Smile Makeover AT NO COST!

Complete The Following Fields

Email *

Select your gender: *

What is your ethnicity? *

In what type of community do you live? *

What is the highest level of education you completed? *

How many people live in your household? *

What is your relationship status? *

Have you ever heard of a removable veneer? *

Select any of the following brands you've heard of *

Snap On Smile™PressOn Veneers™BilVeneers™Perfect Smile Veneers™

If we could only fund a portion of your smile, could you cover some of the remaining cost? *

I hereby authorize the use of my likeness and/or story for any and all purposes. I agree that New Life Smile will not be held liable for any loss, damages of injury associated with applying for, accepting, or using their new smile. I agree that New Life Smile retains the right to make any and all decisions as to the nature of the products or services being rendered and/or to cancel any agreement or work being done for any reason whatsoever. By submitting this form, I confirm I have read and agree to all of the privacy policy.

How does this work?

How Does This Work?

New Life Smile is a non-profit organization, with the goal of providing life-changing smile makeovers to as many people as possible.

We do that by matching people like you, with public and private funding sources that can cover a portion (if not ALL) of your smile makeover costs. Because we work with private corporations, individual donors, and public grants - we may need to gather personal information, like your age, ethnicity, income, even criminal. – But NONE of your answers will exclude you from consideration. There are organizations looking to help recovering addicts, parolees, and the unemployed, right now!

We've already helped hundreds of people in your area and we’re ready to get you a new smile!