- Nurse, JH/HS
618-286-3214 ext 4135
All updated IHSA forms, including pre-participation examination forms, can be found at:
Dental Safari Company, a mobile dental corporation, travels to schools to provide dental wellness checkups, and urgent care treatment, for children of all ages (pre-K through 12th grade).
September 7th and 8th, 2022
Children with a Medicaid / All Kids Identification number
Children who are on free or reduced lunch program
Children with private insurance (provide information)
Child with cash payment (cash or check)
($75 – includes exam, cleaning, fluoride, sealants as needed - pricing as of 2022)
PLEASE NOTE: If your child is in Kindergarten, 2nd, 6th, or 9th grade, the State of Illinois does requires a dental exam to be on file. This appointment fulfills that obligation.
Following your child’s treatment, a letter will be sent home indicating the treatment your child received during our visit as well as follow-up treatment he/she may need.
To take part in this service, please complete and return the Offline Consent Form to the school nurse, or better yet, Register Online and send your nurse an email so we know to look out for you.
If you have any questions, please contact the nurse's office.
618-286-3311 x 3219
JH & HS Nurse
618-286-3814 x 4135