Dental Services

The dental clinic provides preventive, restorative, and emergency care to patients 4-20 years of age. Emergency walk-ins are welcome, but patients with appointments are the priority.

Adults are also seen for emergency dental care.

  • Services are provided on a sliding fee scale based on family income.
  • We provide basic care at no additional charge to TennCare recipients (ages 4 - 20) AND CoverKids recipients (ages 4 -18)
  • After an appointment is scheduled download the appropriate form below.
  • Complete the forms and bring them with you to your appointment.
  • A parent OR guardian must sign the forms if the patient is under age 18. If a guardian signs the forms, custody papers must be brought to the first appointment. 

Forms/Information to Download:

  1. The Patient Registration Form English OR Espanol. 
  2. The Bilingual Dental Medical History Form 
  3. The Medical Information Consent Form English OR Espanol.
  4. The Patient Financial Responsibility Statement in Bilingual Format
  5. Dental Wellness Roadmap

Contact Us


  • Hamilton County Health Department
    921 East Third St., Chattanooga
    (423) 209-8100

Dental Sealant Program

The School-Based Dental Prevention program is a countywide, year round program by the Chattanooga-Hamilton County Health Department for children in grades K-8 in the schools in Hamilton County.  Our program consists of placing sealants on children's teeth as necessary, oral health education, referrals, and immediate need follow-ups.

For more information follow these resources:

School-Based Dental Sealant Programs (CDC)

School-Based Dental Sealant Programs (US Dept. of Health and Human Services)

School-Based Dental Sealant Programs (Tennessee Dept. of Health) - At the bottom of this page you will see the consent forms in English and Spanish. Your child's school will send this form home with your child, however, you can preview the forms at this link.