Community Health Center of Snohomish County (CHC) is excited to inform you about the upcoming Screening, Cleaning, Sealants and Fluoride Program at your child’s school.  This program aims to promote good dental health among students without missing school.  A CHC dentist will perform a visual exam of your child’s teeth to identify any cavities, infections and/or broken teeth. They will be getting a cleaning and also identify if any molars need to have sealants placed.  A dental report card will be sent home with your student the day of the screening.  

Student's Contact Information

Please answer yes or no below for your child to get services.

A screening exam will be required to get a cleaning, sealants and fluoride placed. 

I understand that under the Health Insurance Portability and Accountability Act (HIPAA), I have rights to privacy regarding my protected health information (dental and health records).  I understand CHC of Snohomish County may contact me about appointment reminders, treatment options, test results or other health related benefits and services via phone call, text message, email, or voicemail.  I hereby acknowledge I have access to CHC's Notice of Privacy Practices here and can request the practices in another format at any time by contacting:  Community Health Center of Snohomish Couny, 8609 Evergreen Way Everett, WA 98208, (425)789-3700, www.chcsno.org.