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Consent for Dental Examination/Treatment

Mexico Public School District will partner with Arthur Center Community Health (ACCH) to provide access to mobile dental care for District students without a dental provider. ACCH will provide preventative and restorative care through a mobile van during the 2018-19 school year. The van will move from District building to building providing services. Preventative services including dental exam, cleaning, fluoride and sealant will be provided. The ACCH dentist will diagnose dental disease and create a treatment plan to inform parents. ACCH will assist with dental referrals if necessary.

Arthur Center Community Health accepts most dental insurance. ACCH will be responsible for all billing and collecting of payments for the provision of dental services from students’ insurance of parents. Please fill out the form electronically below or this linked form and return it to the school if you would like your child to participate in this new dental program.