Forms

Pre-K Flyer Get Ready for Services

Pre-K Flyer Get Ready - English

Pre-K Flyer Get Ready - Spanish

Brushing Habits Flyer - English & Spanish

Pre-K Oral Health Assessment

Pre-K Oral Health Assessment

Pre-K Consent Form Packets

Pre-K Consent Form Packet - Arabic عربى

Pre-K Consent Form Packet - Burmese ဗမာ

Pre-K Consent Form Packet - Chinese 中文

Pre-K Consent Form Packet - Karen

Pre-K Consent Form Packet - Lao

Pre-K Consent Form Packet - Russian русский

Pre-K Consent Form Packet - Somali

Pre-K Consent Form Packet - Spanish

Pre-K Consent Form Packet - Vietnamese

Pre-K Screening Results Forms

All forms are double-sided and include an English language version.

Pre-K Screening Results Form - Arabic and English

Pre-K Screening Results Form - Burmese and English

Pre-K Screening Results Form - Chinese and English

Pre-K Screening Results Form - Karen and English

Pre-K Screening Results Form - Lao and English

Pre-K Screening Results Form - Russian and English

Pre-K Screening Results Form - Somali and English

Pre-K Screening Results Form - Spanish and English

Pre-K Screening Results Form - Vietnamese and English

K-8 Consent Form Packets

K8 Consent Form Packet - Arabic

K8 Consent Form Packet - Burmese

K8 Consent Form Packet - Chinese

K8 Consent Form Packet - Karen

K8 Consent Form Packet - Lao

K8 Consent Form Packet - Russian

K8 Consent Form Packet - Somali

K8 Consent Form Packet - Spanish

K8 Consent Form Packet - Vietnamese

K-8 Screening Results Forms

K8 Screening Results Form - Arabic

K8 Screening Results Form - Burmese

K8 Screening Results Form - Chinese

K8 Screening Results Form - Karen

K8 Screening Results Form - Lao

K8 Screening Results Form - Russian

K8 Screening Results Form - Somali

K8 Screening Results Form- Spanish

K8 Screening Results Form - Vietnamese

Referral for Follow-Up Dental Care Form

Referral for Care - Arabic

Referral for Care - Burmese

Referral for Care - Chinese

Referral for Care - English

Referencia para Atención - Español

Referral for Care - Karen

Referral for Care - Lao

Referral for Care - Russian

Referral for Care - Somali

Referral for Care - Vietnamese

Privacy Practices

Notice of Privacy Practices (Full) - English

Notice of Privacy Practices - English

Notice of Privacy Practices - Arabic عربى

Notice of Privacy Practices - Burmese ဗမာ

Notice of Privacy Practices - Chinese 中文

Notice of Privacy Practices - Spanish

Notice of Privacy Practices - Karen

Notice of Privacy Practices - Lao

Notice of Privacy Practices - Russian русский

Notice of Privacy Practices - Somali

Notice of Privacy Practices - Vietnamese

K-8 Sealant & Fluoride Services Fact Sheets

Fact Sheet - Arabic

Fact Sheet - Burmese

Fact Sheet - Chinese

Fact Sheet - English

Fact Sheet - Español

Fact Sheet - Karen

Fact Sheet - Lao

Fact Sheet - Russian

Fact Sheet - Somali

Fact Sheet - Vietnamese

Pre-K Fluoride Services Fact Sheets

Fact Sheet - Arabic

Fact Sheet - Burmese

Fact Sheet - Chinese

Fact Sheet - English

Fact Sheet - Español

Fact Sheet - Karen

Fact Sheet - Lao

Fact Sheet - Russian

Fact Sheet - Somali

Fact Sheet - Vietnamese