NCOHS FMR Guidance for Schools Fluoride Mouth Rinse Program Order Blank for Forms School Fluoride Mouth Rinse Coordinator Duties Suggested Items for School Coordinator Notebook Annual Mouth Rinse Information for Parents - English Annual Mouth Rinse Information for Parents Spanish – Mouth Rinse Information for Parents of Students Entering Kindergarten English – Mouth Rinse Information for Parents of Students Entering Kindergarten Spanish – School Fluoride Mouth Rinse Program Coordinator Supply Order Form – Safety Assessment Instructions for (Form 3898)– School Fluoride Mouth Rinse R2 Safety Assessment - School Fluoride Mouth Rinse Program (Form 3898) Ingredients for the Premixed Unit Dose of Fluoride Mouth Rinse and Fluoride Mouth Rinse Misuse Protocol Fluoride Mouth Rinse Consumption Amounts Suggestions for School Success Suggestions for Classroom Success Permanent Permission Form for FMR English – Permanent Permission Form for FMR Spanish – Annual Permission Form for FMR-English Annual Permission Form for FMR-Spanish Teacher Checklist for FMR School Program Permanent Permission Forms – Teacher Checklist for FMR School Program Annual Permission Forms – Suggested Items for Principals and Classroom Teachers SCHOOL MONITORING AND COLLECTION OF INFORMATION Fluoride Mouth Rinse Roster Fluoride Mouth Rinse Participation Worksheet School FMR Inventory Reporting Form-Instructions School FMR Inventory Reporting Form Sample FMR Roster Collection Memorandum FMR Evaluation 100 Percent Recognition Certificate Participation Recognition Certificate Instructions to Discontinue the Fluoride Mouth Rinse Program
NCOHS FMR Guidance for Schools Fluoride Mouth Rinse Program Order Blank for Forms School Fluoride Mouth Rinse Coordinator Duties Suggested Items for School Coordinator Notebook Annual Mouth Rinse Information for Parents - English Annual Mouth Rinse Information for Parents – Spanish Mouth Rinse Information for Parents of Students Entering Kindergarten – English Mouth Rinse Information for Parents of Students Entering Kindergarten – Spanish School Fluoride Mouth Rinse Program – Coordinator Supply Order Form Safety Assessment Instructions for (Form 3898)– School Fluoride Mouth Rinse R2 Safety Assessment - School Fluoride Mouth Rinse Program (Form 3898) Ingredients for the Premixed Unit Dose of Fluoride Mouth Rinse and Fluoride Mouth Rinse Misuse Protocol Fluoride Mouth Rinse Consumption Amounts Suggestions for School Success Suggestions for Classroom Success Permanent Permission Form for FMR – English Permanent Permission Form for FMR – Spanish Annual Permission Form for FMR-English Annual Permission Form for FMR-Spanish Teacher Checklist for FMR School Program – Permanent Permission Forms Teacher Checklist for FMR School Program – Annual Permission Forms Suggested Items for Principals and Classroom Teachers SCHOOL MONITORING AND COLLECTION OF INFORMATION Fluoride Mouth Rinse Roster Fluoride Mouth Rinse Participation Worksheet School FMR Inventory Reporting Form-Instructions School FMR Inventory Reporting Form Sample FMR Roster Collection Memorandum FMR Evaluation 100 Percent Recognition Certificate Participation Recognition Certificate Instructions to Discontinue the Fluoride Mouth Rinse Program
FMR%20Manual_Rev%2002-17.docx