We are very proud to be “The Orthodontist Who Cares” and are always looking for new opportunities to support our Jackson community. We would love to be able to sponsor every request. Please follow the guidelines below to help our selection process. We regret that we are unable to donate to every request but we look forward to receiving your application and will do our best to help your organization.

1. Please provide a detailed instruction of your request: Name of organization, who the support benefits, details of event/advertisement and who will attend event or see advertisement
2. Please submit all requests at least 4 weeks prior to the due date to allow time for processing.
3. Priority will be given to current and former patients of our office
4. In lieu of monetary sponsorships we may be able to provide “swag” donations

    Full Name*

    Patient's Name*




    Date of Event*

    Website Associated with the Event/School/Foundation*

    Cause/Nature of Organization*