SPMI Trish McClelland, Office Manager Dr. Jason Bjerketvedt, DDS Sandy Johnson, LDA Dr. Jayme Mace, DMD Lynette Rohloff, LDA Amber Wulff, RDH Rosemary Wiese, LDA Becky Collom, RDH SOS Fergus Falls Community Dental Clinic Our state operated dental clinic provides preventative, restorative, and hospital dentistry specifically for consumers on MN Healthcare with: -Developmental Disabilities -Traumatic Brain Injury -Mental Health Disabilities -Chemical Dependency SOS Fergus Falls Community Dental Clinic Clinic Phone Number Toll Free: 1-800-663-6713 Direct: (218) 739-7254 Office Manager: Trish McClelland (218) 739-7444 Clinic Address: 1121 Pebble Lake Road Fergus Falls, MN 56537 SOS Fergus Falls Community Dental Clinic Clinic Hours: • Monday – Thursday: 7:00 am- 4:15 pm (Opportunity to be open on Fridays, if patient capacity provides.) Comprehensive Hospital Dentistry: • Wednesdays, Fergus Falls Lake Region Hospital • Performed by either Dr. Jason Bjerketvedt, DDS or Dr. Jayme Mace, DMD. When adequate care cannot be completed in the office setting: General sedation Comprehensive care: ▪ Restorative ▪ Preventative ▪ X-rays ▪ Extractions SOS Fergus Falls Community Dental Clinic Our clinic is reimbursed by all MN Healthcare programs, including: • Medical Assistance • Managed Care: Blue Plus Primewest Doral Medica Financial obligation to consumer may occur if insurance does not cover treatment plan: • The bill will be mailed directly to the consumer/guardian. *Proudly, our main focus is to provide quality patient care, not cost. process and procedures: For SPMI consumers to be seen at our clinic: • The referral must come from: - county case worker - residential/foster care/assisted living staff member • Be on a MN Healthcare program • SPMI diagnosis After the appointment has been made: • You will receive new patient paperwork to be completed by appointment. SOS Fergus Falls Community Dental Clinic • Consumer reliability: • Attend all appointments • Follow recommended dental treatment, and home care • Collaboration with 1 designated contact person to: • Support consumer with dental care • Discuss/Determine treatment plan • Follow up on treatment plan, home care, etc. Comprehensive care is our priority If the consumer chooses not to comply with comprehensive care, Fergus Falls Dental Clinic Values= In order to guide patient care AND/OR OR *We request the guardian/case worker be present at the 1st comprehensive appointment. Many treatment options will be discussed, and informed consent is essential. Who can we rely on for consumer follow through with treatment plans? OR Information we need CONSUMER INFORMATION REFERRAL INFORMATION Full Name Name Date of Birth Title Medical Assistance # County Phone # Phone # Primary Medical Diagnosis Fax/Email Has the consumer had recent dental care, and are there records to be transferred to our office? MA only pays for certain treatment 1 x/year We must have the current x-rays, cleaning, and exam information, or there will be fees assessed Does the consumer provide their own transportation? Are there any behaviors/characteristics we should know so we can provide the best dental care possible for the consumer? Hostility Anxiety Phobia Triggers Who can we rely on to help the consumer with their recommended treatment plan? Home care Diet/Nutrition Managing appointments Telephone call from case worker to our clinic Make appointment Gather all information to include records being transferred to our clinic First appointment ▪ X-rays, cleaning and comprehensive exam Appointment for dental work Preventative care appointments set up Our specialized dental clinic is a challenging yet very rewarding environment.