Forms and Material for Clinical Directors
The following forms are designed for the use of Clinical Directors when administering their individual programs:
- Special Smiles Supply Request Order Form and Checklist (Adobe PDF, 25K)
- SOSS AGD Tally Form
- Download the HAS form for Special Smiles (MS Word 246K)
< More information on the Healthy Athletes Software system >
- Hold Harmless Agreement (Adobe PDF, 124K): All health care providers volunteering to conduct health screenings at Special Olympics Healthy Athletes events must have malpractice insurance that covers the Healthy Athletes related activites. This form's mutual hold harmless language is a method by which each party is protected.
- Local Clinical Director's Handbook
This booklet will provide all the information you need to successfully implement your Special Olympics Special Smiles event. Download the handbook (Adobe PDF, 1.5M)
- Special Smiles Athlete Report Card
Provide the athletes you screen with the results of their examination. Download the report card (Adobe PDF, 356K)
- Training Manual for Standardized Oral Health Screening
This manual provides the necessary information to become a standardized oral health screener. Download the manual (Adobe PDF, 3M)
- Special Smiles-Academy of General Dentistry Continuing Education form for Local Clinical Directors to give to participants in Special Smiles Continuing Education/Participating Programs as verification of attendance.
Download the form.. (Adobe PDF, 21KB)
A Guide to Good Oral Health for Persons With Special Needs Special Smiles has developed this guide to help develop and maintain a complete oral hygiene program for people with special needs. Read the online version of the guide. [Adobe PDF, 424KB]
For more information, contact Shantae L. Polk, Manager, HealthPrograms, FUNfitness & Special SmilesŪ, at +1 (202) 628-3630 or spolk@specialolympics.org.
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