Skip to content

Book Appointment MyChart Pay Bill Donate

Find a Location
Find a Provider
Services
Patient Info
About Us
- Our Story
- Careers
- Leadership
- Our Partners
- Publications
- Contact Us
- Events

Book Appointment

Find a Location
Find a Provider
Services
Patient Info
About Us
- Our Story
- Careers
- Leadership
- Our Partners
- Publications
- Contact Us
- Events

Book Appointment MyChart Pay Bill Donate

Veterans Dental Program

Premier Community HealthCare Group has been chosen for a special grant through the Florida Veterans Dental Program.

two healthcare workers chatting and walking

Act now! We have a limited number of spots available. We want to make sure our veterans get care first.Thank you for your service. We look forward to taking care of you.

Name(Required)

First Last

Birthdate

MM slash DD slash YYYY

Email(Required)

Enter Email Confirm Email

Service Connected Disability Rating (%)

Address

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Discharge Status

General Under Honorable Conditions

Yes

No

Dishonorable

Yes

No

Honorable

Yes

No

Service Connected Oral Injury

Yes

No

Income Information

Annual Household Income ($)

Number in Household

Are you below 300% Poverty

Yes

No

Dental History

Have you ever visited a hospital emergency department or urgent care facility for help with dental pain or infection problem?

Yes

No

Was the problem resolved at the emergency department/urgent care?

Yes

No

Are you seeking assistance for help with a problem for which you had already visited an urgent care / emergency department?

Yes

No

Was your last dental visit for a preventive care dental cleaning or for treatment of a dental problem?

Yes

No

When was your last Dental Care visit

MM slash DD slash YYYY

Name(Required)

First Last

Birthdate

MM slash DD slash YYYY

Email(Required)

Enter Email Confirm Email

Service Connected Disability Rating (%)

Address

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Discharge Status

General Under Honorable Conditions

Yes

No

Dishonorable

Yes

No

Honorable

Yes

No

Service Connected Oral Injury

Yes

No

Income Information

Annual Household Income ($)

Number in Household

Are you below 300% Poverty

Yes

No

Dental History

Have you ever visited a hospital emergency department or urgent care facility for help with dental pain or infection problem?

Yes

No

Was the problem resolved at the emergency department/urgent care?

Yes

No

Are you seeking assistance for help with a problem for which you had already visited an urgent care / emergency department?

Yes

No

Was your last dental visit for a preventive care dental cleaning or for treatment of a dental problem?

Yes

No

When was your last Dental Care visit

MM slash DD slash YYYY

About Us +

Patient Rights
ADA Compliance
Privacy Policy
Terms of Use
Transparency in Coverage

Get Care +

Book Appointment
Find a Location
Find a Provider

Support Us +

Get Involved
Donate

Connect +

Contact Us
Careers

352-518-2000 727-645-4185 352-567-0218 fax

Copyright © 2026 Premier Community HealthCare Group, Inc. Built by Big Sea.

Premier Community HealthCare Group, Inc. is a Health Center Program grantee under 42 U.S.C. 254b and is deemed a Public Health Service employee under 42 U.S.C. 233(g)-(n) with respect to certain health or health-related claims, including medical malpractice claims, for itself and its covered individuals. For more information, you may contact our corporate office at 352-518-2000 or visit https://www.bphc.hrsa.gov/ftca/.