NORTH CAROLINA BAPTIST MEN & ELIZABETH BAPTIST CHURCH
FREE DENTAL CLINIC & MEDICAL SCREENING

Saturday, June 25, 2022
Time 8:00am – 5:00pm

By appointment only: an application will not guarantee and appointment.
Limited space available (most urgent needs will be scheduled first)
You will be called for an appointment time, IF we have a spot for you.

Form should be completed and returned by
Noon, June 17, 2022
Elizabeth Baptist Church
301 N Post Road,  Shelby, NC 28152
704-482-6339






Dental Clinic:
















Medical Clinic:




You may submit again for other members of your family.