Special Smiles Summit 2026
Registration

Question Title

* Name

Question Title

* Email

Question Title

* Address

Question Title

* Phone

Question Title

* Organization

Question Title

* Job Title

Question Title

* Which best describes your role? (Select all that apply)

Individual with a disability

Parent or caregiver

Dentist

Dental hygienist

Dental assistant

Other dental staff

Other health care provider

Educator or faculty

Community organization staff

Policymaker or government staff

Advocate

Other (please specify)

Question Title

* Have you or someone you support experienced difficulty accessing dental care for individuals with special needs?

Yes

Not sure (explain)

Question Title

* What barriers have you experienced or observed? (Select all that apply)

Lack of trained providers

Medicaid reimbursement or coverage issues

Long wait times

Transportation or distance

Cost of care

Fear, anxiety, or behavioral challenges

Difficulty finding clear information or referrals

Clinic environment not accessible

Other (please specify)

Question Title

* Which areas should be the highest priorities moving forward? (Select up to 3)

Provider training and workforce development

Medicaid policy and reimbursement reform

Centralized information and referral resources

Care coordination and navigation support

Expanding services in rural, frontier, or tribal areas

Data collection and system accountability

Family and caregiver support

Question Title

* What would make this Summit valuable for you? (Select all that apply)

Learning about available resources

Sharing lived experience

Shaping policy or system recommendations

Networking with providers and advocates

Training or skill-building

Participating in action planning

Other (please specify)

Special Smiles Summit 2026
Registration

Question Title

* Name

Question Title

* Email

Question Title

* Address

Question Title

* Phone

Question Title

* Organization

Question Title

* Job Title

Question Title

* Which best describes your role? (Select all that apply)

Question Title

* Have you or someone you support experienced difficulty accessing dental care for individuals with special needs?

Question Title

* What barriers have you experienced or observed? (Select all that apply)

Question Title

* Which areas should be the highest priorities moving forward? (Select up to 3)

Question Title

* What would make this Summit valuable for you? (Select all that apply)

Question Title

* What is the single most important change needed to improve oral health care for individuals with special needs in New Mexico?

Question Title

* Do you have any dietary restrictions?

Special Smiles Summit 2026Registration

Question Title

* Name

Question Title

* Email

Question Title

* Address

Question Title

* Phone

Question Title

* Organization

Question Title

* Job Title

Question Title

* Which best describes your role? (Select all that apply)

Question Title

* Have you or someone you support experienced difficulty accessing dental care for individuals with special needs?

Question Title

* What barriers have you experienced or observed? (Select all that apply)

Question Title

* Which areas should be the highest priorities moving forward? (Select up to 3)

Question Title

* What would make this Summit valuable for you? (Select all that apply)

Question Title

* What is the single most important change needed to improve oral health care for individuals with special needs in New Mexico?

Question Title

* Do you have any dietary restrictions?

Special Smiles Summit 2026
Registration