IVCC Dental Health Center

As a patient, you have the right to:

• Be treated with respect and consideration for your medical, dental, and personal needs.
• Receive treatment and care without discrimination with regard to race, color, national origin, age, religion, ability, marital status, sex, sexual orientation, and gender identity or express.
• Be provided, to the degree known, complete and clear information regarding your diagnosis, treatment, prognosis, risks involved in treatment, any alternatives, and costs in order to give informed consent or refuse a course of treatment.
• Refuse treatment or any procedure or seek a second opinion (at your own expense).
• Appropriate privacy and confidentiality of your medical records (within the confines of applicable law)
• Be informed of fees for services or procedures provided.
• Be treated as a partner in care, participating in goal setting, and planning of treatment.
• Be provided reasonable continuity of care.
• Be informed of the right to refuse to participate in any research conducted at the DHC.
• Address any grievance to DHC staff. 

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As a patient, you have the responsibility to:

1. Provide complete and accurate information.  You are required to provide complete and accurate information relating to your medical and dental history, medications, dietary supplements, previous illnesses, hospitalizations, allergies, and current care. You must inform the DHC immediately and prior to any new services of changes in general health conditions or any unusual discomfort following previous treatment. Failure to provide such information may result in cancellation of an appointment and/or dismissal from the DHC.
2. Keep your appointment, arrive timely, or cancel at least 48 hours before the scheduled appointment. You understand that regular attendance is an important aspect of successful treatment. You are responsible for arriving on time for your scheduled appointment. It is recommended that you arrive at least 15 minutes prior to your appointment time. If you arrive late to your scheduled appointment, the DHC reserves the right to deny and/or reschedule treatment. Please be advised that any rescheduled appointment may or may not be with your original Student Treatment Provider. Failure to keep and/or cancel an appointment at least 48 hours in advance will be classified as a “missed appointment.” You may be required to pay the fees associated with all missed appointments.
3. Pay for services when rendered. You are responsible for paying all fees associated with services rendered at the time they are due. If more than one appointment is needed to complete treatment, payment is expected at the first appointment. The DHC does not accept insurance, but can provide an itemized receipt if requested. The DHC accepts cash or check. In the event of failure to pay fees, your name, address, and phone number may be forwarded to a college-approved collection agency in accordance with State of Illinois policies and procedures. Failure to pay all fees when due may result in your dismissal from the DHC.
4. Comply with your treatment plan. Your Student Treatment Provider, in conjunction with the Supervisor, will develop a treatment plan that outlines the services to be provided, as well as the required and/or recommended practices that you as the patient will be asked to implement. You are required to cooperate, participate and follow the treatment plan as recommended. Failure to comply with all aspects of your treatment plan may result in dismissal from the DHC. You accept full personal responsibility for failure to follow the treatment plan. The DHC is not responsible for any consequences should you refuse to follow the treatment plan and/or fail to follow DHC instructions and/or advice.
5. Ask questions. Ask sufficient questions to ensure appropriate comprehension of your dental problems, as well as the proposed treatment plan. If you do not understand something about your treatment plan and/or the services being provided and/or recommended, it is your responsibility to ask clarifying questions to your Student Treatment Provider and/or the Supervisor.
6. Inform the DHC of any issues with latex. The DHC is not a latex-free environment. If you have issues with latex, including but not limited to an allergy you must inform reception staff immediately, as well as your Student Treatment Provider and the Supervisor. For your safety, your appointment may be canceled if your situation cannot be accommodated. 
7. Be accompanied by a parent and/or legal guardian or their designee (if a minor). This parent and/or legal guardian (or their designee) must be present during the entire appointment. Parents and/or legal guardians (or their designees) are welcome in the treatment area, although there may be times that we ask that that they wait in the reception area unless specifically requested to enter the treatment area by a Student Treatment Provider and/or Supervisor.
8. Provide a responsible adult to transport you home and remain with you as required by your treatment provider, if necessary. The DHC uses local anesthetic agents. Should you feel you need assistance with transportation, you are responsible for arranging transportation home from the DHC. 
9. Understand that the DHC is a teaching facility. Because the DHC is a teaching facility, your Student Treatment Provider may perform services and procedures that you otherwise might not undergo at a private dental practice. These additional services and procedures include, but are not limited to: taking blood pressure and vital signs; exposing radiographs; charting periodontal pocket depths; completing intraoral and extraoral examinations; using a disclosing agent; scaling teeth; polishing teeth; examination and evaluation by the dental faculty before, during and after treatment, application of sealants, fluoride agents, and chemotherapeutic agents; ultrasonic scaling; provision of non-surgical periodontal therapy; air-abrasion polishing; administration of local anesthetic agents and nitrous oxide sedation; tobacco cessation counseling; dietary counseling for caries control; removal of amalgam margins and amalgam polishing. You agree to undergo these additional services and/or procedures as recommended by your Student Treatment Provider and the Supervisor.
10. Treat DHC staff and other patients with respect, consideration, and dignity. You are expected to respect the rights of other patients and DHC staff. It is your responsibility to conduct yourself (and any other individuals that accompany you to your appointment) in a manner that is respectful of other patients and the DHC staff, including Student Treatment Providers. Failure to do so may result in cancellation of your appointment and/or dismissal from the DHC.
11. Comply with all Illinois Valley Community College and Dental Health Center policies and procedures. Failure to follow any of these policies and/or procedures, including these Conditions of Treatment, may result in your immediately dismissal from the DHC. For more information, please ask your Student Treatment Provider and/or the Supervisor.

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• Treat all patients with respect and dignity;
• Keep information provided by patients confidential;
• Serve all patients without discrimination (i.e., age, gender, race, religion, disability, etc.)
• Follow the Center for Disease Control and Prevention’s Standards for Infection Control and Disease Prevention;
• Provide high quality oral healthcare reflective of the skill, care, and judgment considered to be the standard of care when provided by IVCC’s Dental Assisting and Dental Hygiene students who are supervised by Certified Dental Assistants, Registered Dental Hygienists and/or Licensed Dentists.
• We can and will only treat patients within the limits of our clinic and scope of the student education.
• Provide patients with information regarding their oral health status;
• Educate patients about oral hygiene instructions to be used at home;
• Assist patients in making informed decisions about their oral health (i.e., explain conditions, proposed treatment plans, treatment alternatives, risk of no treatment, and expected outcomes);
• Encourage patients to fully participate in treatment decisions and oral self-care;
• Explain the expected cost of treatment and potential fees involved in treatment provided by our clinic;
• Keep patients informed of anticipated treatment time, and the process toward completion of treatment that our clinic is providing or referring;
• Make referrals to other dental professionals for care when what is needed is beyond the scope of our oral health setting.
• Continually evolve the program and treatment in accordance with Illinois Law and the State Dental Practice Act.

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1. All patients are offered comprehensive dental hygiene care including assessment, dental hygiene diagnosis, a dental hygiene treatment plan, dental  hygiene treatment and examination by a dentist.
2. Dental hygiene care will be provided in a sequenced and timely manner.
3. An individualized prevention plan will be developed and implemented for each patient and monitored for effectiveness.
4. Patients will receive high quality dental hygiene care.
5. Patients will be satisfied with the dental hygiene care they receive.

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Call: (815)-224-0227

Email: DentalHealthCenter@ivcc.edu

Visit: 815 N Orlando Smith Rd., Oglesby IL- Building G

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• No walk-ins accepted.
• All patients must have an appointment
• Patients should expect to be seen in the clinic on multiple occasions.
• Appointment times vary from one hour to four hours in length, depending on treatment plan. Patients should make arrangement for varying timeframes.
• No insurance is accepted in the clinic for payment.

 

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Purpose:
To ensure access to affordable dental care, the IVCC Dental Health Center offers a Sliding Fee Discount Program for patients who meet specific eligibility criteria.

Eligibility:
Patients may qualify for free services based on the following criteria:

• Enrollment in Medicaid or Medicare
• Veterans of the U.S. Armed Forces
• Children under the age of 12
• Families/individuals with household incomes at or below 200% of the most current Federal Poverty Guidelines (FPG)

Scope of Coverage:

• All services provided at the IVCC Dental Health Center are free for qualifying patients.
• Dental cleanings are $30 for all other patients who do not meet the qualifying criteria listed above.

Procedure:

1. Patients must complete the Sliding Fee Discount Application
2. Eligibility must be reviewed and approved annually.
3. All applications and financial information will be kept confidential.

Review & Updates:
This policy will be reviewed annually and updated according to changes in federal guidelines.

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Fill out the SFD application here.Back To Top

Sliding Fee Schedule (2025)

Patient Category	Dental Cleaning Fee	Other Services
Medicaid/Medicare Recipients	$0	$0
Income ≤ 200% of Federal Poverty Guidelines (FPG)	$0	$0
Children under 12 years old	$0	$0
U.S. Veterans	$0	$0
All other patients	$30	$0

*Other services include exams, x-rays, sealants, fluoride treatments, oral appliances such as night guards and whitening trays, and dental sealants.

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