1. SOS Fergus Falls Community Dental Clinic
SPMI
SOS Fergus Falls Community Dental Clinic

2. 5 SOS Dental Clinics

3. SOS Fergus Falls Dental Clinic

4. Our team: Dr. Jason Bjerketvedt, DDS Trish McClelland, Office Manager
Dr. Jayme Mace, DMD
Amber Wulff, RDH
Becky Collom, RDH
Trish McClelland,
Office Manager
Sandy Johnson, LDA
Lynette Rohloff, LDA
Rosemary Wiese, LDA

5. Our team:

6. What our Program is: 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

7. How do people access our Dental Services?
SOS Fergus Falls Community Dental Clinic
Clinic Phone Number
Toll Free:
Direct: (218)
Office Manager:
Trish McClelland (218)
Clinic Address:
1121 Pebble Lake Road
Fergus Falls, MN 56537

8. Fergus Falls Hours of Operation:
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.

9. Lake Region Healthcare, Fergus Falls, MN

10. Comprehensive Hospital Dentistry
When adequate care cannot be completed in the office setting:
General sedation
Comprehensive care:
Restorative
Preventative
X-rays
Extractions

11. How will services provided get paid?
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.

12. Fergus Falls Community Dental Clinic
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.

13. SOS Fergus Falls Community Dental Clinic
Our expectations:

14. 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.

15. Comprehensive care is our priority
-doctor exam -hard tissue charting -full mouth periodontal probes -full mouth set of x-rays -cleaning/scaling and root planning -fluoride treatment

16. the consumer can elect emergency care only.
If the consumer chooses not to comply with comprehensive care,
the consumer can elect emergency care only.

17. Person-centered service throughout all dental treatment
Fergus Falls Dental Clinic Values=
Person-centered service throughout all dental treatment

18. it would be helpful to know:
In order to guide patient care
it would be helpful to know:

19. Who is responsible for making/ cancelling/rescheduling appointments?
Legal Guardian
AND/OR
Case Worker/Staff/Consumer

20. Who does the dental clinic contact for treatment options?
Legal Guardian OR
Case Worker/Staff
*We request the guardian/case worker be present at the 1st comprehensive appointment. Many treatment options will be discussed, and informed consent is essential.

21. Who can we rely on for consumer follow through with treatment plans?
Legal Guardian OR
Case Worker/Staff/Consumer

22. Information we need
from you:

23. Required: Full Name Date of Birth Medical Assistance # Phone #
Consumer information
Referral information
Full Name
Date of Birth
Medical Assistance #
Phone #
Primary Medical Diagnosis
Name
Title
County
Phone #
Fax/

24. 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

25. Does the consumer provide their own transportation?

26. Are there any behaviors/characteristics we should know so we can provide the best dental care possible for the consumer?
Hostility
Anxiety
Phobia
Triggers

27. Who can we rely on to help the consumer with their recommended treatment plan?
Home care
Diet/Nutrition
Managing appointments

28. How this all works: 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

29. We thank you for the opportunity to meet consumer’s dental needs!
Our specialized dental clinic is a challenging yet very rewarding environment.
We thank you for the opportunity to meet consumer’s dental needs!