Oral Health Templates

This form is used to assess the risk of caries (tooth decay) in a car recall situation.

This Form is used for gathering information about a patient's dental health history, including past dental treatments, allergies, and any current dental concerns. It helps dentists assess the patient's oral health and provide personalized care.

This document is a template for a Green Tooth Fairy Certificate. It is used to acknowledge a child's lost tooth and their interaction with the Tooth Fairy.

This document contains a list of sample dental hygienist interview questions that may be asked during a job interview. It can help candidates prepare for their interview and practice their answers.

This document is a template for an award certificate celebrating a child's first tooth. Use this template to create a personalized certificate for this special milestone.

This certificate template is used to acknowledge individuals who have no cavities. It can be used as a recognition for good oral hygiene and dental health.

This document is a template used in dentistry for recording and documenting information about a patient's gums and teeth, including measurements and observations. It helps dentists track and monitor oral health conditions such as periodontal disease.

This form is used for obtaining consent from the patient for undergoing a root canal treatment.

This document provides a tooth brushing chart to help the entire family maintain bright smiles.

This form is used for dental screening and examination required for school entry in Kentucky. It helps ensure that children receive necessary dental care before starting school.

This document is a template for a Caries Risk Assessment Questionnaire. It is used by dental professionals to evaluate a patient's risk for cavities.

This form is used for assessing the risk of developing tooth decay or cavities. It helps dental professionals evaluate the likelihood of caries and determine appropriate preventive measures.

This form is used for requesting an oral health assessment or waiver. It provides important information for evaluating your oral health needs or granting an exemption.

This form is used for gathering information about a patient's dental history, current health status, and insurance information before their dental appointment.

This document provides award certificate templates for individuals who have taken good care of their braces.

Download this document if you are a dental provider in order to determine the dental condition of a service member's family member. The information is collected for relocation clearance for travel.

This type of document is a black-colored certificate template that can be used to create a note from the Tooth Fairy. It is a fun and creative way to celebrate losing a tooth and leaving a special message for the child.

This form is used for documenting and diagnosing pediatric dental conditions. It is commonly used by dentists specialized in providing dental care to children.

This document is for the Oral Health Assessment conducted by the Florida Department of Juvenile Justice. It is used to assess the oral health of juveniles in the state.

This document is a request form for reimbursement for the Adult Dental Program in Newfoundland and Labrador, Canada. It allows eligible individuals to seek reimbursement for dental expenses covered under the program.

This document provides a summary of dental providers organized by county in New Jersey. It includes information on dentists and dental clinics available in each county.

This document is used for keeping a record of periodontal maintenance procedures.

This form is used for recording the plaque index and bleeding points for dental assessment.

This document promotes oral health for children and adolescents through the Medicaid benefit. It provides information and guidelines on how to keep kids' teeth healthy.

This Form is used for applying to become an Oral Health Consultant in Arkansas.

This document highlights the efforts to improve oral health for all Americans in the year 2016.

This document is a Caries Risk Assessment Tool for children ages 3 through 5 years in Texas. It helps assess the risk of tooth decay in young children.

This document is a Caries Risk Assessment Tool specifically designed for individuals aged 6 to 20 years in the state of Texas. It is used to assess the risk of dental caries (tooth decay) in young people.

This Form is used for declaring the completion of statutory requirements for nonorthodontic removable oral devices in Washington.

This document is used to request fluoride analysis in the state of Wyoming.

This Form is used for patients to attest their connection with oral health services in Washington.

This Form is used for patients seeking oral health services in Washington who speak Korean. It provides an attestation for the patient to verify their understanding and agreement to the services provided.

This Form is used for patients in Washington state who are participating in the Oral Health Connections program and need to provide attestation of their eligibility, in Lao language.

This form is used for Somali-speaking patients in Washington to provide an attestation regarding oral health connections.

This document is a patient attestation form for oral health connections in Washington, specifically for individuals who speak Chinese Simplified. It is used to provide proof and agreement regarding oral health services.

This Form is used for recording daily oral health services provided by the First Nations and Inuit Health Branch in Canada.