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School-Community Oral Health Project Toolkit

REFERENCES & RESOURCES (Adobe pdf unless otherwise noted)

Oral Health Bright Future Manual

Building School-Community Partnerships for Children’s Oral Health in West Virginia

SCP Website Link & Instructions

Issue Brief for School-Community Partnership


FORMS & PRACTICE DOCUMENTS (Microsoft Word unless otherwise noted)

Sample Dental Provider Contract

Credentialing Form for Dental Personal

dentalfeesamples (MS Excel)

Dentist referral list for parents


Dismissal letter

HIPAA Signature Sheet



Insurance Breakdown Form

Letter to parent introducing dental program- school letterhead

New Patient Form

Notice of HIPAA




WCS Portable Dental Clinic follow-up letter to parents

WCS Portable Preventive Dentistry Clinic Treatment Outline



Wood County Schools Portable Dental Clinic Pilot Project


WV Event Level Data Collection Form Draft

Sample Consent Form 1

Sample Consent Form 2


EDUCATIONAL ACTIVITIES & HANDOUTS (Adobe pdf unless otherwise noted)

Tooth Anatomy Activity

Proper Brushing

Dental Brushing Calendar

Dental Team Coloring Sheet

Dental Connect Four

Dental Crossword

Dental Find the Differences

Dental Connect the Dots

Proper Flossing

Dental Find the Message

Dental Word Scramble

Dental Sudoku

National Brush Poster

Seal Out Tooth Decay Booklet for Parents



WVDHHR Oral Health Curriculum

West Virginia Department of Health and Human Resources (WVDHHR) Oral Health Program has created a NEW comprehensive oral health curriculum. The curriculum was created in modules for HeadStart/Pre-K,
K-5 and grades 6-12. These lessons/activities can be used by any teacher or health professional to present in a classroom.

  1. DHHR Approved Standardized Oral Health Curriculum Pre K Headstart

  2. DHHR Approved Standardized Oral Health Curriculum K-5 Lesson Plans

  3. DHHR Approved Standardized Oral Health Curriculum 6-12 Lesson Plans

If you Have Any Questions Call Us On (304)6341008