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Site Partner Information

Our new Site Partner Kit is a resource to help you plan a visit from one of our Mobile Program trucks. It's full of information, tools, tips, and forms to use and customize to host a mobile dental clinic. The kit is a 3-ring binder with a USB drive, and the entire contents are provided below as an additional resource library.

If you're interested in hosting a truck visit to your community, need help with an upcoming truck visit, or have any questions, please contact:

Vickie Samuel
Mobile Program Logistics Coordinator
605-494-2565 or 800-627-3961

Zach Parsons
Mobile Program Services Manager
605-494-2578 or 800-627-3961


Complete Site Partner Kit (.pdf) - 15.5MB
Site Partner Planning Checklist (.pdf)

Patient Forms - Section 5
Patient Information Form (.pdf)
Patient Information Form - Spanish/Espanol (.pdf)
HIPAA Notice of Privacy Practices (.pdf)
HIPAA Notice of Privacy Practices - Spanish/Espanol (.pdf)
Notice of Nondiscrimination & Accessibility (.pdf)

Pre-Visit Promotion Materials - Sections 2 & 6
Fundraising Letter-Email Sample (.docx)
Pre-Visit Press Release Sample (.docx)
Community Poster Template (.pdf)
Send-Home Flyer Template (.pdf)
Pre-Visit Social Media Post Samples (.docx)
Scripts for Pre-Visit Outreach Messages (.docx)

Transfer Clinic Scheduling - Sections 3 & 7
Exam Schedule Template (.pdf)
Appointment Card Template (.pdf)

Visit Week & Results Promotion Materials - Sections 7 & 8
Visit Week Social Media Post Samples (.docx)
After-Visit Results Press Release Sample (.docx)
After-Visit Results Social Media Post Samples (.docx)

Photos & Graphics
.ZIP Folder - Images Sized for Online Use (.zip) - 8.5MB


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.