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COVID Statement (click here)

At Smiles on Wheels, we are committed to doing our part to prioritize the health, safety, and support of our patients and our employees while we continue taking measures to help slow the spread of COVID-19 in our community.  We have developed and implemented a more robust program with policies and procedures to meet the needs of these current fluid situations.  We are listening to and learning from the Center for Disease Control and Prevention (CDC), American Dental Association (ADA) and the American Dental Hygienist Association (ADHA) as new issues emerge.

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Call: 517-740-7422 (Lower)
Call: 906-282-8741 (UP)
Fax: 517-315-4918
Email: [email protected]

1715 Lansing Avenue, Room 261
Jackson, Michigan 49202

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Forms

Adult Clinic

  • Adult Patient Forms

Dental Sealant

  • SOW Updated Dental Sealant Consent Form - English
  • Dental Sealant Consent Form and Letter to Parents - Spanish
  • Dental Sealant Consent Form and Letter to Parents - Arabic

Fluoride Varnish

  • Varnish Consent Form - English
  • Varnish Consent Form - Spanish

HIPAA

  • HIPAA Policy
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