Dental Assistance Program

Geographic Scope: Santa Barbara County, CA

The Vikings of Solvang assist people in paying for dental needs if they cannot afford to pay the expenses themselves. Requests are processed on a monthly basis.

Mission

Local charity largely funded by members' donations with a mission to help people in Santa Barbara County with dental costs that they cannot afford to pay.

Important Policies

• Payment Method: Pays dental providers directly; does not reimburse patients for amounts already paid by patient, family, or friends
• Financial Documentation Required: Applicants must establish financial need and provide financial documents
• Processing: Monthly basis with possible requests for additional information
• Dental Plan: Applicants should submit their dental plan if applicable

Contact Information

• Email: charity@vikingsofsolvang.org
• Mailing Address: P.O. Box 293, Solvang, CA 93464

Application Process

1. Download Required Forms: Download and complete the Dental Assistance Form
2. Complete HIPAA Form: Download, fill out, and include HIPAA Form with submission
3. Gather Supporting Documentation:
   • Financial documents establishing financial need
   • Dental plan (if applicable)
   • Dental provider statements or quotes
   • Proof of insurance coverage/denials
4. Submit Application:
   • Email completed application and all supporting documentation to: charity@vikingsofsolvang.org
5. Follow-up: Organization may contact applicant to request additional information

Required Information

• First Name, Last Name
• Email, Phone
• Full Address (Address Line 1, Address Line 2, City, State, Zip Code, Country)
• Years at current address
• Date of Birth
• Name of Parent/Guardian (if applicable)
• Description of dental condition and how organization can best serve you
• Insurance information
• Dentist information
• Date of Last Visit