Caring For Our Community

Dental ACCESS Consent Form

If your child’s school participates in Kintegra’s Dental ACCESS Program, and you would like him/her to receive the preventive care provided in the Program, please print and sign the consent form below, and return it to your school’s office.

Dental ACCESS Consent Form

All care is provided at no cost to the patient.

For more information about Kintegra’s Dental ACCESS program, visit