Viola Startzman Dental Clinic

The Viola Startzman Clinic is partnering with Wooster High School to provide dental screenings and treatment to students at the high school during the school day on Jan. 21. If you are interested in your student participating in the dental clinic, please complete the entire attached packet AND attached consent for fluoride treatment. The clinic DOES need social security numbers filled out on the forms. Forms can be turned into the high school office/clinic. Please also send a copy of both the front and back of your insurance card if you have one. Please let the high school office know if you need help making a copy of your insurance card or if you would like a hard copy of the required forms sent home with your student. Forms need turned into the high school office/clinic by Jan. 13.

 

Mobile Dental Clinic Information

Informed Consent for Silver Diamine Fluoride