Submit a Testimonial

Share Your Experience

How Has Your Attendance or Involvement Been Impactful?

Everyone has a story to share. What’s yours? Have you or a loved one attended a free dental care clinic? Have you volunteered at a free dental care clinic? We invite you to share your personal story!

Share Your Experience With Us

Name*
First Last
Phone*
Email*
Company (if applicable)
What was the nature of your experience?*
- My company supports the ADCF.
- I volunteered at a clinic.
- I attended a clinic and has a service.
- Other
Please tell us about your experience:*
Are you comfortable with us sharing your story publicly?*
- Yes
- No
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