spmi dr. jason bjerketvedt, dds dr. jayme mace, dmd amber wulff, rdh becky collom, rdh trish...
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SPMI
Dr. Jason Bjerketvedt, DDS
Dr. Jayme Mace,
DMD
Amber Wulff, RDH
Becky Collom, RDH
Trish McClelland, Office Manager
Sandy Johnson, LDA
Lynette Rohloff, LDA
Rosemary Wiese, LDA
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 NumberToll Free: 1-800-663-6713Direct: (218) 739-7254
Office Manager:Trish McClelland (218) 739-7444
Clinic Address:1121 Pebble Lake RoadFergus 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
Full Name
Date of Birth
Medical Assistance #
Phone #
Primary Medical
Diagnosis
REFERRAL INFORMATION
Name
Title
County
Phone #
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.