Enroll Now - S.0.S (Senior Oral Health Services)

Helping Your Loved One Maintain a Healthy Smile, Comfort, and Overall Wellness

Thank you for considering S.O.S. preventive oral care for your loved one. Our oral care specialists provide convenient weekly preventive oral hygiene services onsite, right where your loved one lives — improving comfort, health, and quality of life without the stress of transportation.

Why Enroll?

– Weekly preventive oral care onsite
– Helps reduce risk of aspiration pneumonia and supports overall health
– Improves comfort, eating, breath and smile
– Early identification of concerns
– No transportation required
– Family visit reports and communication

Preventive Oral Care Enrollment Interest

Thank you for considering S.O.S. preventive oral care for your loved one. Our oral care specialists provide convenient weekly preventive oral hygiene services onsite to improve comfort, health, and quality of life. Why Enroll? - Weekly preventive oral care onsite - Helps reduce risk of aspiration pneumonia and supports overall health - Improves comfort, eating, breath and smile - Early identification of concerns - No transportation required - Family visit reports and communication

Resident Name(Required)

First Last

Home or Senior Living Community(Required)

Home

Senior Living Community

If Senior Living Community, Please Provide the Name of Community

Home or Community Address(Required)

Street Address Address Line 2 City ZIP Code

How Can We Reach You?

We would love to chat with you. How can we get in touch?

Preferred Method of Contact

Power of Attorney (POA) Name(Required)

First Last

POA Email Address(Required)

Email Address Confirm Email Address

POA Phone(Required)

Any Additional Information You Would Like to Share?

Your Comments/Questions

Thank you for your interest in S.O.S. Senior Oral-Health Services. An S.O.S. representative will contact you shortly to guide you through the enrollment process. If you have any questions in the meantime or would like to get started right away, please feel free to call us at 828-775-2180.

Preventive Oral Care Enrollment Interest

Thank you for considering S.O.S. preventive oral care for your loved one. Our oral care specialists provide convenient weekly preventive oral hygiene services onsite to improve comfort, health, and quality of life. Why Enroll? – Weekly preventive oral care onsite – Helps reduce risk of aspiration pneumonia and supports overall health – Improves comfort, eating, breath and smile – Early identification of concerns – No transportation required – Family visit reports and communication

Resident Name(Required)

First Last

Home or Senior Living Community(Required)

Home

Senior Living Community

If Senior Living Community, Please Provide the Name of Community

Home or Community Address(Required)

Street Address Address Line 2 City ZIP Code

How Can We Reach You?

We would love to chat with you. How can we get in touch?

Preferred Method of Contact

Power of Attorney (POA) Name(Required)

First Last

POA Email Address(Required)

Email Address Confirm Email Address

POA Phone(Required)

Any Additional Information You Would Like to Share?

Your Comments/Questions