Evaluation/Referral Worksheet

This simple checklist will help with assessing oral health status, risk factors, and making referrals for clients, when needed.

Follow this link to download the evaluation/referral worksheet (editable document requires Microsoft Word and will open in the downloads feature of your browser).

                   

  Some of the files available on this page are in Microsoft Word format which requires Microsoft Word or Word Viewer. A free copy of Microsoft Word Viewer   can be downloaded directly from Microsoft,