UnityPoint Health - St. Luke's Dental Health Center
Information
Number of patients waiting reflects the current number of patients waiting to be seen. This number changes frequently and is not exact.
About Us
The Dr. Rhys B. Jones Dental Health Center name honors longtime director Rhys B. Jones, DDS, MS, who provided the Center with his vision, passion and leadership. He dedicated his entire career to improving the dental health of low-income children in our community. Dr. Jones died suddenly in April 2012.
Services
Providing quality, comprehensive dental services for those in need of financial assistance since 1976. We provide routine dental care with an emphasis on prevention and education to infants and children through the age of 15. Our service area includes Cedar Rapids and surrounding counties in east central Iowa.
Our goal is to give children of all ages a positive experience when going to the dentist. We are kid-friendly and staffed with dentists, dental assistants and dental hygienists with pediatric and special care experience.
Patient Forms
Please download and email completed forms to: CR_Dentalhealthcenter@unitypoint.org
- Patient Information Form
- Medical History Form
- Qualification Information
- Qualification Form
- Informed Consent for Treatment & Privacy Policy
- Broken Appointment Policy
- Consent for Primary Tooth Extraction
- Consent for Endodontic Procedures
- Consent for Medical Immobilization
- Consent to Treat Minor in Parent Absence
- Authorization for Release of Medical Information
- Agency Form
Additional Information
- Financially eligible (based on income and family size).
- Not covered under private insurance.
- Title-19 (Medicaid) and HAWK-I programs accepted.
- Infant, child or adolescent through age 15.