Click on the Appropriate Form Below to Complete Your Child’s Registration!


Illinois Dental Consent Form

Illinois Dental Consent Form (Spanish)

Indiana Dental Consent Form

Indiana Dental Consent Form (Spanish)


7562 Old Route 13
Marion, IL 62959

Phone: 618-993-8333
Fax: 618-933-8335



Dental Safari’s mobile dental office is a self-contained, fully-functioning dental operatory where children receive the same professional services as those performed in a traditional office.

Equipped with the latest dental technology, our dentists are more efficient and are able to perform more dentistry per appointment. In our on-site, kid-friendly mobile dental office, we specialize in on-location Quality Examinations, Cleanings, Fluoride Treatments, and placement of Sealants (as needed).

Currently partnering with 100 schools, we bring the dental office to you! Simply make an appointment, parents/guardians check their kid out of class, and walk to the dental office at school!!

Contact us today or visit our website for more information!

“This is a great opportunity for our students. The staff was great with kids and we only heard good things after their exams.”

– Ryan McClellan
Principal, Evansville Elem.