ABOUT
LOCATIONS
CONTACT
JOBS
SEARCH
Skip to main content
Menu
Menu
Home
Licensure
Regulation
Disease Control
Health and Safety
Data and Statistics
Public Services
EMS/Trauma
Family and Adults
Dental and Oral Health
Dental Sealants
Fact Sheets
Make a Child's Smile
Reports
ROHCs
Training
Water Fluoridation
Water Fluoridation Topics
Your Oral Health
Licensure
Regulation
Disease Control
Health and Safety
Data and Statistics
Public Services
EMS/Trauma
Home
Español
/
Tiếng Việt
/
English
Make a Child's Smile
PDF
[243KB]
Make a Child's Smile: Parental Consent Form
PDF
[243KB]
PDF
[44KB]
Make a Child's Smile: Dental History Form
PDF
[44KB]
PDF
[214KB]
Make a Child's Smile: Oral Health Screening Outcome
PDF
[214KB]
Form 1398
To view/print
PDF
documentation you will need
Adobe Reader
request edits
Mississippi State Department of Health
•
570 East Woodrow Wilson Dr
•
Jackson, MS 39216
•
866‑HLTHY4U
•
Contact and information