Results Forms, Oral Health Kits and Screener Supplies

 

Screening Supplies and Results Forms

The school can download and print the necessary consent forms. The oral health kits, screening supplies and results forms will be shipped to the screener's house or a convenient location for storage.

 
 
 
Phone
 
 
 
 
 
 

Classroom Supplies

 

Oral health kits and results letters will be shipped together (please add a numerical value only).

 

Screening Supplies

 

Add number of mirrors needed.

 

Add number of boxes needed (200 per box)

 

Add number of cannisters needed

 

Do you need any other supplies? Please indicate in the field below.

 
 
mm/dd/yyyy