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Smile Makeover Thank You Giveaway

Help Lawson Family Dentistry Brighten The Smile Of A Local Hero

As a community, we have all felt the impact of COVID-19 over the past few months. During this time, there have been a countless number of doctors, nurses, first responders and and other professionals who have been providing critical services for our community. 

Lawson Family Dentistry, in partnership with Dawson Academy Labs, would like to show our appreciation by donating a FREE smile makeover to one special person in our Smile Makeover Thank You Giveaway. We’re asking our patients to nominate someone they know in our community who has been on the front lines during the COVID-19 battle. If their name is selected, our team will be reaching out to them to see how we can provide them with the smile of their dreams!

Please fill out the form below with your patient information and your nominee. If their name is selected we will be contacting them (in the future when it’s safe to do so) to set up a consultation for their complimentary smile makeover!

Nominate An Urbandale Hero to Win Our FREE Smile Makeover

About Yourself

About Your Nominee

  • Healthy Start Patient Form

  • Sleep Disordered Breathing Questionnaire for Children

    The initial column should be filled out at first appointment. Please identify the following symptoms your child exhibits with the scale indicating severity of symptoms.

    Not Present: 0
    Mild: 1-2
    Moderate: 3
    Pronounced: 4-5
  • Does your child:

  • (If yes, fill out speech questionnaire below)
  • Speech Questionnaire

    To be filled out only if #27 was indicated above
  • Please check all that apply to your child