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.