Plan Your Event

Plan Your Event

EVENT PLANNING DOCS

Plan your All-Star Smiles Event

The documents below will assist you with the planning and promotion of your All-Star Smiles Event

  • Event Planning & Promotion (PDF)
  • All-Star Smiles Logo (PNG)
  • Press Release (DOCX)
  • Sample Event Advisory for Media Distribution (DOCX)
  • Volunteer Certificate of Appreciation (DOCX)
  • Certificates for Children (DOCX)

Insurance and Risk Management Considerations

The following provides guidance on how to manage legal, insurances, and risk management considerations

  • Insurance and Risk Management Considerations (DOCX)

Notice of Privacy Practices

The notice describes how patient’s health information will be used, disclosed and how to access this information.

SAMPLE FORMS & LETTERS

Privacy Practices Acknowledgement Form

This form acknowledges that the Notice of Privacy Practices was provided to and read by the patient.

  • Privacy Practices Acknowledgement Form (English) (PDF)
  • Privacy Practices Acknowledgement Form (Spanish) (PDF)

Waiver and Permissions Forms

  • Dental Procedure(s) Consent Form (English) (DOCX)
  • Dental Procedure(s) Consent Form (Spanish) (DOCX)
  • Media & Testimonial Release Form (DOCX)

Sample Medical Forms

Data Collection Forms

  • Event Data Collection Form – Education, Screening & Preventative Treatment (PDF)
  • Event Data Collection Form – Education, Screening, Preventative and Restorative Treatment (PDF)

Sample Letters

  • Screening Results Letter for Parents (DOCX)
  • Sample Parent Letter (DOCX)

EDUCATION RESOURCES

Use these resources for your events! Download and print education handouts to distribute at your event, or access fun and educational videos to play for children and caretakers in your waiting area.

Handouts

  • Healthy Teeth – English & Spanish (Coming soon)

Videos

  • All-Star Smiles Waiting Room Video (Coming soon)

Website Links

  • MouthHealthy
    Access oral-health information for the public and ADA Find-A-Dentist
  • MouthHealthyKids
    Brought to you by the American Dental Association
  • 2min2x.org
    Visit the Ad Council’s children’s oral health website