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Shelby County R-IV Schools and Shelby County Health Department Dental Partnership
Dear Parent/Guardian:

Dental Clinic staff from the Lincoln County Health Department (LCHD), in partnership with the Shelby County Health Department, will be offering dental services at your child’s school. Students (with parent permission) will receive an oral health exam, xrays, cleaning, fluoride application, and dental sealants. These services are important to prevent tooth decay, and are recommended by the American Dental Association.

Depending on each child’s individual needs, these services may need to be done in 2 visits with our dental staff at the school.

In order to provide these preventative services at no out-of-pocket cost to families, the health department asks for insurance information. This allows us to bill insurance plans when possible. Donations are also appreciated, to help offset the cost of providing these services to uninsured community members.

Parents/guardians will receive a copy of the health screening form along with referral information for dentists in the Shelby County area. Health department staff will be calling families to talk about the results of dental exams, to answer questions, and help with plans for follow-up care. If follow-up care is requested to be done by our dental staff, fees for these services will be discussed with you during this call. Please see the attached brochure for more information, or call the LCHD Dental Clinic at 636-528-6117, option 3.

LCHD staff will begin serving students in the South Shelby School District beginning in February. It may take several days to see all students, and staff will be at the school until all students are seen. If you would like your child to receive these services, you must provide permission for each service offered, and complete all required paperwork attached. Exams are required for any students receiving a dental cleaning. Permission Slips are available at school building offices.

PAPERWORK CAN ALSO BE COMPLETED ONLINE AT www.lchdmo.org/dental-forms
Shelby Co R-IV School Parent Survey
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