![Page 1: SPMI Dr. Jason Bjerketvedt, DDS Dr. Jayme Mace, DMD Amber Wulff, RDH Becky Collom, RDH Trish McClelland, Office Manager Sandy Johnson, LDA Lynette](https://reader035.vdocuments.site/reader035/viewer/2022070307/551a0733550346a4248b46fb/html5/thumbnails/1.jpg)
SPMI
![Page 2: SPMI Dr. Jason Bjerketvedt, DDS Dr. Jayme Mace, DMD Amber Wulff, RDH Becky Collom, RDH Trish McClelland, Office Manager Sandy Johnson, LDA Lynette](https://reader035.vdocuments.site/reader035/viewer/2022070307/551a0733550346a4248b46fb/html5/thumbnails/2.jpg)
![Page 3: SPMI Dr. Jason Bjerketvedt, DDS Dr. Jayme Mace, DMD Amber Wulff, RDH Becky Collom, RDH Trish McClelland, Office Manager Sandy Johnson, LDA Lynette](https://reader035.vdocuments.site/reader035/viewer/2022070307/551a0733550346a4248b46fb/html5/thumbnails/3.jpg)
![Page 4: SPMI Dr. Jason Bjerketvedt, DDS Dr. Jayme Mace, DMD Amber Wulff, RDH Becky Collom, RDH Trish McClelland, Office Manager Sandy Johnson, LDA Lynette](https://reader035.vdocuments.site/reader035/viewer/2022070307/551a0733550346a4248b46fb/html5/thumbnails/4.jpg)
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
![Page 5: SPMI Dr. Jason Bjerketvedt, DDS Dr. Jayme Mace, DMD Amber Wulff, RDH Becky Collom, RDH Trish McClelland, Office Manager Sandy Johnson, LDA Lynette](https://reader035.vdocuments.site/reader035/viewer/2022070307/551a0733550346a4248b46fb/html5/thumbnails/5.jpg)
![Page 6: SPMI Dr. Jason Bjerketvedt, DDS Dr. Jayme Mace, DMD Amber Wulff, RDH Becky Collom, RDH Trish McClelland, Office Manager Sandy Johnson, LDA Lynette](https://reader035.vdocuments.site/reader035/viewer/2022070307/551a0733550346a4248b46fb/html5/thumbnails/6.jpg)
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
![Page 7: SPMI Dr. Jason Bjerketvedt, DDS Dr. Jayme Mace, DMD Amber Wulff, RDH Becky Collom, RDH Trish McClelland, Office Manager Sandy Johnson, LDA Lynette](https://reader035.vdocuments.site/reader035/viewer/2022070307/551a0733550346a4248b46fb/html5/thumbnails/7.jpg)
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
![Page 8: SPMI Dr. Jason Bjerketvedt, DDS Dr. Jayme Mace, DMD Amber Wulff, RDH Becky Collom, RDH Trish McClelland, Office Manager Sandy Johnson, LDA Lynette](https://reader035.vdocuments.site/reader035/viewer/2022070307/551a0733550346a4248b46fb/html5/thumbnails/8.jpg)
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.
![Page 9: SPMI Dr. Jason Bjerketvedt, DDS Dr. Jayme Mace, DMD Amber Wulff, RDH Becky Collom, RDH Trish McClelland, Office Manager Sandy Johnson, LDA Lynette](https://reader035.vdocuments.site/reader035/viewer/2022070307/551a0733550346a4248b46fb/html5/thumbnails/9.jpg)
![Page 10: SPMI Dr. Jason Bjerketvedt, DDS Dr. Jayme Mace, DMD Amber Wulff, RDH Becky Collom, RDH Trish McClelland, Office Manager Sandy Johnson, LDA Lynette](https://reader035.vdocuments.site/reader035/viewer/2022070307/551a0733550346a4248b46fb/html5/thumbnails/10.jpg)
When adequate care cannot be completed in the office setting: General sedation
Comprehensive care:▪ Restorative
▪ Preventative
▪ X-rays
▪ Extractions
![Page 11: SPMI Dr. Jason Bjerketvedt, DDS Dr. Jayme Mace, DMD Amber Wulff, RDH Becky Collom, RDH Trish McClelland, Office Manager Sandy Johnson, LDA Lynette](https://reader035.vdocuments.site/reader035/viewer/2022070307/551a0733550346a4248b46fb/html5/thumbnails/11.jpg)
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.
![Page 12: SPMI Dr. Jason Bjerketvedt, DDS Dr. Jayme Mace, DMD Amber Wulff, RDH Becky Collom, RDH Trish McClelland, Office Manager Sandy Johnson, LDA Lynette](https://reader035.vdocuments.site/reader035/viewer/2022070307/551a0733550346a4248b46fb/html5/thumbnails/12.jpg)
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.
![Page 13: SPMI Dr. Jason Bjerketvedt, DDS Dr. Jayme Mace, DMD Amber Wulff, RDH Becky Collom, RDH Trish McClelland, Office Manager Sandy Johnson, LDA Lynette](https://reader035.vdocuments.site/reader035/viewer/2022070307/551a0733550346a4248b46fb/html5/thumbnails/13.jpg)
SOS Fergus Falls Community Dental Clinic
![Page 14: SPMI Dr. Jason Bjerketvedt, DDS Dr. Jayme Mace, DMD Amber Wulff, RDH Becky Collom, RDH Trish McClelland, Office Manager Sandy Johnson, LDA Lynette](https://reader035.vdocuments.site/reader035/viewer/2022070307/551a0733550346a4248b46fb/html5/thumbnails/14.jpg)
• 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.
![Page 15: SPMI Dr. Jason Bjerketvedt, DDS Dr. Jayme Mace, DMD Amber Wulff, RDH Becky Collom, RDH Trish McClelland, Office Manager Sandy Johnson, LDA Lynette](https://reader035.vdocuments.site/reader035/viewer/2022070307/551a0733550346a4248b46fb/html5/thumbnails/15.jpg)
Comprehensive care is our priority
![Page 16: SPMI Dr. Jason Bjerketvedt, DDS Dr. Jayme Mace, DMD Amber Wulff, RDH Becky Collom, RDH Trish McClelland, Office Manager Sandy Johnson, LDA Lynette](https://reader035.vdocuments.site/reader035/viewer/2022070307/551a0733550346a4248b46fb/html5/thumbnails/16.jpg)
If the consumer chooses not to comply with comprehensive care,
![Page 17: SPMI Dr. Jason Bjerketvedt, DDS Dr. Jayme Mace, DMD Amber Wulff, RDH Becky Collom, RDH Trish McClelland, Office Manager Sandy Johnson, LDA Lynette](https://reader035.vdocuments.site/reader035/viewer/2022070307/551a0733550346a4248b46fb/html5/thumbnails/17.jpg)
Fergus Falls Dental Clinic Values=
![Page 18: SPMI Dr. Jason Bjerketvedt, DDS Dr. Jayme Mace, DMD Amber Wulff, RDH Becky Collom, RDH Trish McClelland, Office Manager Sandy Johnson, LDA Lynette](https://reader035.vdocuments.site/reader035/viewer/2022070307/551a0733550346a4248b46fb/html5/thumbnails/18.jpg)
In order to guide patient care
![Page 19: SPMI Dr. Jason Bjerketvedt, DDS Dr. Jayme Mace, DMD Amber Wulff, RDH Becky Collom, RDH Trish McClelland, Office Manager Sandy Johnson, LDA Lynette](https://reader035.vdocuments.site/reader035/viewer/2022070307/551a0733550346a4248b46fb/html5/thumbnails/19.jpg)
AND/OR
![Page 20: SPMI Dr. Jason Bjerketvedt, DDS Dr. Jayme Mace, DMD Amber Wulff, RDH Becky Collom, RDH Trish McClelland, Office Manager Sandy Johnson, LDA Lynette](https://reader035.vdocuments.site/reader035/viewer/2022070307/551a0733550346a4248b46fb/html5/thumbnails/20.jpg)
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.
![Page 21: SPMI Dr. Jason Bjerketvedt, DDS Dr. Jayme Mace, DMD Amber Wulff, RDH Becky Collom, RDH Trish McClelland, Office Manager Sandy Johnson, LDA Lynette](https://reader035.vdocuments.site/reader035/viewer/2022070307/551a0733550346a4248b46fb/html5/thumbnails/21.jpg)
Who can we rely on for consumer follow through with treatment plans?
OR
![Page 22: SPMI Dr. Jason Bjerketvedt, DDS Dr. Jayme Mace, DMD Amber Wulff, RDH Becky Collom, RDH Trish McClelland, Office Manager Sandy Johnson, LDA Lynette](https://reader035.vdocuments.site/reader035/viewer/2022070307/551a0733550346a4248b46fb/html5/thumbnails/22.jpg)
Information we need
![Page 23: SPMI Dr. Jason Bjerketvedt, DDS Dr. Jayme Mace, DMD Amber Wulff, RDH Becky Collom, RDH Trish McClelland, Office Manager Sandy Johnson, LDA Lynette](https://reader035.vdocuments.site/reader035/viewer/2022070307/551a0733550346a4248b46fb/html5/thumbnails/23.jpg)
CONSUMER INFORMATION
Full Name
Date of Birth
Medical Assistance #
Phone #
Primary Medical
Diagnosis
REFERRAL INFORMATION
Name
Title
County
Phone #
Fax/Email
![Page 24: SPMI Dr. Jason Bjerketvedt, DDS Dr. Jayme Mace, DMD Amber Wulff, RDH Becky Collom, RDH Trish McClelland, Office Manager Sandy Johnson, LDA Lynette](https://reader035.vdocuments.site/reader035/viewer/2022070307/551a0733550346a4248b46fb/html5/thumbnails/24.jpg)
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
![Page 25: SPMI Dr. Jason Bjerketvedt, DDS Dr. Jayme Mace, DMD Amber Wulff, RDH Becky Collom, RDH Trish McClelland, Office Manager Sandy Johnson, LDA Lynette](https://reader035.vdocuments.site/reader035/viewer/2022070307/551a0733550346a4248b46fb/html5/thumbnails/25.jpg)
Does the consumer provide their
own transportation?
![Page 26: SPMI Dr. Jason Bjerketvedt, DDS Dr. Jayme Mace, DMD Amber Wulff, RDH Becky Collom, RDH Trish McClelland, Office Manager Sandy Johnson, LDA Lynette](https://reader035.vdocuments.site/reader035/viewer/2022070307/551a0733550346a4248b46fb/html5/thumbnails/26.jpg)
Are there any behaviors/characteristics we
should know so we can provide the best
dental care possible for the consumer? Hostility Anxiety Phobia Triggers
![Page 27: SPMI Dr. Jason Bjerketvedt, DDS Dr. Jayme Mace, DMD Amber Wulff, RDH Becky Collom, RDH Trish McClelland, Office Manager Sandy Johnson, LDA Lynette](https://reader035.vdocuments.site/reader035/viewer/2022070307/551a0733550346a4248b46fb/html5/thumbnails/27.jpg)
Who can we rely on to help the
consumer with their recommended
treatment plan?
Home care
Diet/Nutrition
Managing appointments
![Page 28: SPMI Dr. Jason Bjerketvedt, DDS Dr. Jayme Mace, DMD Amber Wulff, RDH Becky Collom, RDH Trish McClelland, Office Manager Sandy Johnson, LDA Lynette](https://reader035.vdocuments.site/reader035/viewer/2022070307/551a0733550346a4248b46fb/html5/thumbnails/28.jpg)
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
![Page 29: SPMI Dr. Jason Bjerketvedt, DDS Dr. Jayme Mace, DMD Amber Wulff, RDH Becky Collom, RDH Trish McClelland, Office Manager Sandy Johnson, LDA Lynette](https://reader035.vdocuments.site/reader035/viewer/2022070307/551a0733550346a4248b46fb/html5/thumbnails/29.jpg)
Our specialized dental clinic is a challenging yet very rewarding environment.