Dental Health Services | Application Forms
- Adult Sliding Fee Application (English PDF)
- Adult Sliding Fee Application (Spanish PDF)
- Adult Medical History (English PDF) (19 years and older)
- Adult Medical History (Spanish PDF) (19 years and older)
- Child Dental History (English PDF) (18 years old and under)
- Child Dental History (Spanish PDF) (18 years old and under)
- FY26 School-Based Dental Services Registration Packet (English PDF)
- FY26 School-Based Dental Services Registration Packet (Spanish PDF)
- Minor Consent (English PDF)
- Minor Consent (Spanish PDF)
- Authorization to Release/Receive Information (English PDF)
- Authorization to Release/Receive Information (Spanish PDF)