Important Dental Update:

At CHCCW we are continuing to put our patients’ and staff’s safety as our number one priority. We are committed, as your Dental Provider of Choice, to follow the American Dental Association’s (ADA) recommendation that at this time, we are only providing emergency dental care. We appreciate your patience and understating. Below is a statement directly from the ADA. If you have any questions and/or concerns, please call our Dental Department directly at 307-233-6049.

The ADA is recommending that dentists nationwide postpone elective procedures in response to the spread of the coronavirus disease, COVID-19, across the country.

“The American Dental Association recognizes the unprecedented and extraordinary circumstances dentists and all health care professionals face related to growing concern about COVID-19,” according to the March 16 statement from ADA President Chad P. Gehani. “The ADA is deeply concerned for the health and well-being of the public and the dental team. In order for dentistry to do its part to mitigate the spread of COVID-19, the ADA recommends dentists nationwide postpone elective procedures for the next three weeks. Concentrating on emergency dental care will allow us to care for our emergency patients and alleviate the burden that dental emergencies would place on hospital emergency departments.

At the Community Health Center Dental Clinic, our staff is dedicated to improving the oral health of you and your family. Our Dental Clinic provides you with comprehensive oral health care while assisting you with an appropriate and individualized treatment plan.

We treat people of all ages. From children to the elderly. We provide a friendly and stress-free environment so you can relax and receive the best dental care offered.

Below you will find the patient paperwork that needs to be completed before scheduling a dental appointment. Please print, fill out, and return the paperwork using one of the avenues listed below.

Email: dentalfrontdesk@chccw.org

Mail: 5000 Blackmore Rd, Casper, WY 82609

Fax: 307.233.6019

Dental Records Release: if you have seen a dentist in the last 3 years please complete this and return with the registration. This form allows us to request your x-rays from a previous office and avoid an over charge to you.

When returned please include a copy of your dental insurance card (front and back), if you do not have dental insurance be sure to mention this to the patient support staff when scheduling your appointment to discuss payment options and the sliding fee scale. If you have any questions please contact our office.

Dental Patient Registration Form
Dental Health History
Dental Record Release Form
Financial and Appointment Policy
Child Policy Acknowledgment
PHI Designee Form

Dental care services include:

  • Dental hygiene
  • General restorative oral care (fillings)
  • Crowns and bridges
  • Extractions, pre-molar and anterior root canals
  • General dental examinations
  • Emergency examinations, diagnostics, and treatment
  • Implant crowns
  • Limited orthodontic care
  • Teeth whitening
  • Radiographs
  • Amalgam and resin restorations
  • Complete, partial and implant dentures
  • Extractions, including some third molars
  • Adult and child prophylaxis
  • Scaling and root planing
  • Sealants
  • Nutritional counseling

To schedule an appointment, call (307) 233-6049.

Providers

Sara Smith, DDS

Keshia Brinkerhoff, RDH