Just Kids Dental 2023-24 Wisconsin School-Based Dental Program Application 
Dear Legal Guardian,

Did you know an oral health program is available at your child's school?

*Just Kids Dental (JKD) has partnered with your school district at no charge to provide oral health education and preventive dental services to uninsured and underinsured children at school.
*JKD has a team of dedicated Registered Dental Hygienists who provide compassionate care on-site utilizing portable dental equipment.

Who do we serve?

*Children in households participating in FoodShare (SNAP), W-2 Cash Benefits (TANF), 
Food Distribution Program on Indian Reservations (FDPIR), or Free and Reduced Priced School Meals, children enrolled in Medicaid/BadgerCare/FowardHealth or Head Start and foster, homeless, migrant, and runaway children. 


What preventive services are provided by a Registered Dental Hygienist?

*Oral Health Instruction
*Oral Health Screening
*Dental Cleaning
*Fluoride Varnish
*Sealants
*Oral Health Kit includes toothbrush and toothpaste

*THIS ONLINE APPLICATION MUST BE SUBMITTED PRIOR TO YOUR CHILD RECEIVING SERVICES. 
*COMPLETE A SEPARATE APPLICATION FOR EACH CHILD.*
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