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Clinical Forms

CAMBRA Forms - Ages 0-5

CAMBRA- English
File Size: 113 kb
File Type: pdf
Download File

Self-Management Goals - English
File Size: 179 kb
File Type: pdf
Download File

Self-Management Goals for Parents (UPDATED)
File Size: 373 kb
File Type: pdf
Download File

Self-Management Goals for Patients (UPDATED)
File Size: 374 kb
File Type: pdf
Download File

CAMBRA- Spanish
File Size: 115 kb
File Type: pdf
Download File

Self-Management Goals - Spanish
File Size: 187 kb
File Type: pdf
Download File

CAMBRA- Korean
File Size: 88 kb
File Type: pdf
Download File

CAMBRA- French
File Size: 75 kb
File Type: pdf
Download File

CAMBRA- Vietnamese
File Size: 91 kb
File Type: pdf
Download File

CAMBRA- Cantonese
File Size: 9400 kb
File Type: pdf
Download File

CAMBRA- Russian
File Size: 145 kb
File Type: pdf
Download File

CAMBRA- Simplified Chinese
File Size: 353 kb
File Type: pdf
Download File

CAMBRA- Traditional Chinese
File Size: 392 kb
File Type: pdf
Download File


CAMBRA Forms - Ages 6+

CAMBRA 6 and Over - English
File Size: 53 kb
File Type: pdf
Download File

CAMBRA 6 and Over - Spanish
File Size: 53 kb
File Type: pdf
Download File


AAP Forms

Oral Health Risk Assessment Tool - English
File Size: 309 kb
File Type: pdf
Download File

Self Management Tool - English
File Size: 333 kb
File Type: pdf
Download File

Oral Health Risk Assessment Tool - Spanish
File Size: 913 kb
File Type: pdf
Download File

Self Management Tool - Spanish
File Size: 306 kb
File Type: pdf
Download File


Other Forms

Vacation Request Form
File Size: 40 kb
File Type: docx
Download File

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  • Home
  • About
    • Faculty & Staff
    • Residents
    • Alumni
    • MPH/Residency Program
    • Community Rotation Programs
    • Give Kids A Smile
    • Policy & Procedure Manual
    • UCLA SOD Postgraduate Trainee Manual
    • Events & Conferences
    • CARE-PD Evaluation Reports
  • Curriculum
    • Ethics & Professionalism
    • Disease Management & Risk Assessment
    • Statistics & Research Methods
    • Policy & Advocacy
    • Community Partners
    • Quality Improvement
    • Cultural Competency
    • Interprofessional Education
    • Special Needs Children
  • Training Programs
    • AEGD/GPR
    • Advanced Clinical Training >
      • Admissions
      • ACT Trainees
  • Research
    • Faculty Mentors
    • Resident Research Projects
  • Video Lecture Library
    • Featured Videos!
    • 2021 IPE Oral Health Forum
    • Care-PD Video lectures Modules 1-9 >
      • Featured: Quality Improvement Presentations
    • Advanced Clinical Trainees Presentations
    • CARE PD Special Guest Lectures
    • Pediatric Lectures for AEGD/GPR residents
    • Community Oral Health Workers (COHWs)
    • Parent/Caregiver Videos (mostly Spanish)
    • UCLA Pediatric Dental Residents @ the Chair
  • Resources
    • AAP Resources
    • AAPD Resources
    • Additional Resources
    • Clinical Forms
    • Spanish/Español