Tooth Truck Patient Application

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Your child may be eligible for high quality, comprehensive dental care and treatment at no cost to you through the Ronald McDonald Care Mobile, known as the Tooth Truck. The Ronald McDonald Care Mobile is primarily a school-based program, providing treatment throughout each school day.  Any child that qualifies for the free/reduced school lunch program is eligible to receive free treatment on the Tooth Truck, regardless of whether or not you have Medicaid coverage.

Even though The Tooth Truck is a mobile office just over 200 square feet in size, it still has the ability to provide a full range of dental services, including x-rays, cleanings and sealants, root canals, fillings and more. Not only do we strive to provide healthy smiles for local children, we also educate them on the importance of good oral hygiene and how to properly brush and floss to ensure their new, healthy smiles last forever.

Since its debut in July, 2002, over 20,000 children have been treated through over 47,600 dental appointments valued at over $11.7 million.  The Tooth Truck operates five days each week and the philosophy of the program is to complete each child’s treatment plan.  That means that EVERY Tooth Truck patient ends up with a healthy smile!

Application Instructions: Click on the Patient Application button below to download the form or fill it out online. You must save or print your completed form; your information will not be saved once you exit the form. You may send the completed application to the address below or scan your completed form and email it to emma.davis@toothtruck.org. If you have questions, please contact the Office Staff at (417) 891-1238.

The Ronald McDonald Care Mobile
949 E. Primrose St.
Springfield, MO 65807

Patient Application

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The following trademarks used herein are owned by McDonald's Corporation and its affiliates: Ronald McDonald House Charities, Ronald McDonald House Charities Logo, RMHC, Ronald McDonald House, Ronald McDonald House Logo, Ronald McDonald Care Mobile, Ronald McDonald Care Mobile Logo, McDonald's. The Tooth Truck name and logo are owned by The Tooth Truck, Inc.