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Patient Information

A Patient Information Form must be completed and signed by a parent/guardian for every child to be treated on a Mobile Program truck. The form provides important medical and dental information for treatment and express permission for treatment by the child's

No treatment can be provided if the Patient Information Form is incomplete or unsigned.

Patient Information Form (.pdf)

No patient will be denied services due to inability to pay.

Notice of Privacy Practices (.pdf)

Nondiscrimination and Accessibility Statement (.pdf)



Delta Dental of South Dakota ordered the new trucks for its mobile program that provides dental care to kids who can’t afford or access a dentist. The pair of highly specialized vehicles will be used
Delta Dental of South Dakota is ordering two new mobile dental trucks to continue serving kids across the state as part of the non-profit company’s mobile program.
It might have been the nine year old boy in Oglala who was getting a dental exam. Or it could have been the two fillings for the three year old girl in Rapid City. Last week, one of them was the 30,
A special three-year project to improve children’s oral health on South Dakota’s Native American reservations showed significant success. Initially funded with federal grant money, Delta Dental of So
Delta Dental of South Dakota will soon have another Smile Mobile to replace the mobile dental truck lost to fire earlier this summer.