Download a Medical Application. Mail completed application to: Department of Workforce Services PO Box 143245.Find treatment for all your dental needs, from root canals to, dental implants, cleanings, and more. You may download and complete any of the forms below as needed. Each form contains instructions about where and how to submit it once you have filled it out. Community Dental Clinics. Central City Dental Clinic. Salt Lake Donated Dental Services. Phone: 801-983-0345. We are now providing dental benefits for 50000 Medicaid recipients across the state.