This form only takes seconds to complete and can forever change the smile—and the life—of a survivor of domestic or sexual violence.
You can help heal the effects of domestic and sexual violence by making a tax deductible financial contribution to the Give Back a Smile (GBAS) program.
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Learn how GBAS restored Mona's life:

It was the day after Valentine’s when the man I thought loved me shot me at close range.

My jaw was shattered and my palate severely damaged. Yet I wouldn’t learn this until days later when I was awakened from a medically induced coma.

I was devastated ... and disfigured.  

While grateful to be alive, my face had become a gruesome and inescapable reminder of one person’s brutality. That all changed when I was given the phone number for GBAS.

GBAS was able return to me the smile that had been so violently stolen.

Please support GBAS so they can continue to help other abuse survivors like me!


GBAS Program Recipient

If you are having difficulties making your online donation, please call us at 1.800.543.9220.

Or Mail Your Donations to:
Give Back a Smile
402 West Wilson Street
Madison, WI 53703

The American Academy of Cosmetic Denstiry Charitable Foundation is a 501c3 organization - Tax ID #39-1800450