How your school would BENEFIT from dental mobile

The most significant are:

 Children don’t need to take time off from school for dental appointments.

Healthier Children miss fewer classes and spend more time in school learning.

Children without dental pain are less distracted and more attentive in class.  

Children over all health has improved, and number of complain and absentee for Headaches, Toothaches, Heart problems, diabetics, and other Infections are much less.

Parents’ appreciate school for this valuable and essential service to their children, and their health.

Children are left with positive dental experience, and a great smile.

It is absolutely FREE to parents and schools.

Parents and schools are not charged or billed for Dental services ever.

It’s as easy as 1, 2, 3 to arrange for Dental Mobile visit;

To arrange a Dental Mobile visit;

Please follow the instructions below.

The process is simple and efficient, as we are anxious to bring our program to you.

Step #1

Contact Director of Patient Relations at Dental Mobile, at (800) 700-7430 to schedule a visit.

Step #2

Download the Application Form and the Patient Medical History Form. Photocopy and

distribute both forms to all interested individuals.

Application and Consent Form ( English) (Spanish) (Korean)

Patient Medical History ( English) (Spanish) (Korean)

Step #3

Fax the completed Application forms to:

            Director of Patient Relations Dental Mobile at (800) 700-7430 or,

you can mail them to:

Dental Mobile

1659 Scott Blvd. Suite 2,

Santa Clara, CA 95050.

Note: The Patient Medical History forms will be available at the Mobile and can be completed by the patient before his or her appointment.