Flint Hills Community Health Center. 2007. Future Smiles: School Sealant Program. Emporia, KS: Flint Hills Community Health Center.
Contact: National Maternal and Child Oral Health Resource Center, Georgetown University, Box 571272, Washington, DC 20057-1272; Telephone: (202) 784-9771; Fax: (202) 784-9777; E-mail.
These materials were developed as part of a program designed to bring oral health care to children from families with low incomes in the elementary school setting. The materials include two brochures, one containing program information and another on the use of dental sealants in preventing tooth decay; a parent letter; a general and health information form; and a consent-for-treatment form. A report form is also provided for use in communicating with a parent or other caregiver about a child's dental treatment needs and services rendered, including dental sealants, fluoride varnish, and toothprints.
- Dental Sealatns: School Sealant Program (brochure)
- Consent for Treatment
- Parent/Guardian Letter
- Patient Information and Health History (form)
- Program Information (brochure)
- Report to Parents/Guardians