Smile for Life Mom's Club

Be the best mother you can be and see your dentist today so that you and your baby can have a healthy Smile for Life!

Who is Eligible to Join?

Pregnant women and those with children under 3 years of age residing in Greene, Fayette or Washington County.

How does it work?

  • To sign up for the Smile for LIfe Mom's Club, fill out the REGISTRATION FORM and mail to:

  Smile for Life Mom's Club

c/o Cornerstone Care

501 West High Street

Waynesburg, PA 15370

or Download the REGISTRATION FORM and email to Joining Smile for Life


You may enroll at any time prior to submitting your DENTIST TREATMENT PLAN COMPLETION FORM


  • You will then receive an MEMBERSHIP CARD once your registration has been approved.  It is for you to keep.

  • Schedule an appointment with your dentist.

       If you need help finding a dentist, please call (724) 852-1001.

  • Take the DENTIST TREATMENT PLAN COMPLETION FORM to your appointment

  • Complete the services recommended by your dentist within 12 months.

  • Ask your dentist to sign the DENTIST TREATMENT PLAN COMPLETION FORM  once your treatment plan is complete.

  • Mail the signed DENTIST TREATMENT PLAN COMPLETION FORM to Smile for Life at the address above.

  • Receive a MEMBERSHIP KIT, along with a CERTIFICATE OF COMPLETION, and be automatically entered into a Smile for Life Celebration Drawing and ongoing incentive programs.

What are my Obligations?


You must complete the DENTIST RECOMMENDED TREATMENT PLAN within 12 months and continue with regular dental visits.  You must give Smile for LIfe permission to verify your child's dentist's signature on the DENTIST TREATMENT PLAN COMPLETION FORM.



Send a completed DENTIST TREATMENT PLAN COMPLETION FORM every 6 months following your child's checkup to be eligible for the next round of award drawings.  A current CERTIFICATE OF COMPLETION must be received to be eligible for each drawing. 



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