Dental Hygiene Department - Clinic
3400 Highway 95, Bullhead City, AZ 86442
Clinic telephone: 928.704.7788; FAX: 928.704.7790

Dear Patient, Thank you for choosing to participate in the Dental Hygiene Program at MCC. We offer the following services based on the student/faculty assessment of your dental hygiene needs: 

Health history assessment Extra-oral and Intra-oral exam, including oral cancer screening Oral hygiene evaluation and preventive measures Oral prophylaxis (cleaning) Non-surgical periodontal therapy Additional indicated periodontal therapy, including local antimicrobials(medications) Mechanical (gum therapy) Patient education Fluoride treatment Radiographs (x-rays) Pit and fissure sealants  Nutrition Counseling Impressions and study models  Smoothing and polishing restorations (fillings)

This program does not: Take the place of a periodic examination and diagnosis by your dentist, or services provided by a dentist, such as fillings, crowns, root canals, extractions, partials, or dentures. 

Cost: The cost of dental hygiene services at MCC for adults is determined by oral health classifications.  Additional services may require an additional charge.  Please consult with your student hygienist on the fees charged.

Adult Cleaning & Exam......... Child Cleaning & Exam......... Sealants.......................... Deep Cleaning.................. Full Mouth X-ray Series....... Panoramic X-rays...............

$25 (in absence of disease) $15 $8/per tooth $25/per quadrant $30 $25

Some treatments may require additional charges.  Please consult with your hygienist on the fees charged. 

1. Understand and use these rights. If for any reason you do not understand or you need help, the clinic will provide assistance. 2. Receive treatment without discrimination as to race, color, religion, sex, national origin, disability, sexual orientation, or source of payment. 3. Receive considerate and respectful care in a clean and safe environment, free of unnecessary restraints. 4. Know the names, positions, and functions of any dental hygiene instructors, staff and students in the dental hygiene clinic who are involved in your care. 5. Refuse treatment, examination or observations by any instructors or students. 6. A non-smoking area. Please use the outdoor area if you wish to smoke. 7. Receive complete information about any referral that is advised.

8. Receive information that you need in order to give informed consent prior to any proposed procedure or treatment. 9. Refuse treatment and be told what effect this may have on your health. 10. Refuse to take part in research. In deciding whether or not to participate, you have the rights to a full explanation. 11. Privacy while in the clinic and, consistent with law, confidentiality regarding all communication, information and records pertaining to your care. 12. Participate in all decisions about your treatment at this dental hygiene clinic. 13. Review your dental hygiene record and obtain a copy of your dental hygiene record, for which the clinic can charge a reasonable fee. 14. Complain without fear of reprisal, regarding the care and services you are receiving. If you are not satisfied with the clinic’s response, you can complain to the MCC Vice President of Instruction, or the Arizona State Board of Dental Examiners.

I have read the MCC Patients' Bill of Rights and understand what my rights are as a patient in this program. 

1. Providing, to the best of your knowledge, accurate and complete information about present complaints, past illnesses, hospitalization, medication and other matters relating to your health. 2. Reporting unexpected changes in your health to the clinician. 3. Report whether you clearly comprehend the planned course of treatment and what is expected of you. 4. Following the treatment plan recommended for your care. 5. Keep appointments punctually and notify the clinic when you are unable to do so for any reason.

6. Your actions if you refuse treatment or do not follow the clinician’s instructions. 7. Assuring that the financial obligations for your healthcare are fulfilled promptly. 8. Following clinic rules and regulations affecting patient care and conduct. 9. Being considerate of the rights of other patients and clinic personnel.

• Cost
• Patients’ Bill of Rights
• Patients' Responsibilities

Additional information is available by emailing us at dentalhygiene@mohave.edu or by calling us at 928.704.7797.