yes
no
Fluoride Varnish
Sealants
Silver Fluoride
Dental Screening
Allen Dale Elementary School
Applegate Elementary
Evergreen Elementary School
Fort Vannoy Elementary
Fruitdale Elementary
Highland Elementary
Lincoln Elementary
Madrona Elementary
Manzanita Elementary
New Hope Christian School
Parkside Elementary
Redwood Elementary
Riverside Elementary
Williams Elementary
Woodland Charter
Sunnywolf Charter
Lorna Byrne Middle School
Illinois Valley High School
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pg1_Teacher
pg1_Grade
M
F
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American Indian or Alaska Native
Asian
Black or African American
Native Hawaiian/Pacific Islander
White/Caucasian
More than one race
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Hispanic or Latino
Not Hispanic or Latino
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English
Spanish
Sign Language
Other
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pg1_Parent Name
pg1_Home Address
pg1_City
pg1_Zip
pg1_Cell Phone
pg1_Work Phone
pg1_OHPID
pg1_OtherInsurance
1
pg1_InsuranceGroup
pg1_InsurancePatientID
pg1_DentistName
Pg1_Dental Concerns
3-6 Months
6-9 Months
Over 12 Months
Never
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pg1_Insurance Holder
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