Give Kids A Smile Toolbox
There are a number of resources available to assist you in your planning efforts.
Toolkit
The GKAS Program Planning Toolbox is an excellent resource for veterans, individual dentists or those who are new to the program. The guide includes a step-by-step timetable on how to plan an event, how to promote your event to the media and what legal issues may arise. The guide is divided into three sections to make accessing information easier.
- Program Planning Guide
- Program Promotion Guide
- Legal, Insurance and Risk Management Considerations Guide
Other Materials
These materials include forms you may need and additional information that is important to consider when planning and conducting an event.
- Notice of Privacy Practices
- Acknowledgement Form
- ADA Caries Risk Assessment
- Data Collection Forms
- Waiver and Permissions Forms
- Posters and Certificates
- Sample Letters and House Resolutions
Program Planning Guide
Have you planned an access to care event in the past or is this a new activity for you? The keys to success are organization, planning, execution, publicity and evaluation. The Program Planning Guide is here to help you sort everything out.
- Program Planning Guide
- Community Coalition-Building and Identifying Qualified Children for GKAS
- Sample Data Collection Form
- Data Collection Form
Program Promotion Guide
Whether you are part of a planning group or handling and entire event yourself, it’s important to promote your GKAS event to the media. The following materials should help guide you when it comes to contacting the local media about your event.
- Program Promotion Guide
- GKAS Logo and Word Mark Terms of Use
- Selecting a Spokesperson
- Working with the Media
- Talking Points for Give Kids A Smile
- Sample Media Alert
- Sample Radio Public Service Announcement
Legal, Insurance and Risk Management Considerations Guide
As with any access to care program, GKAS raises legal, insurance and risk management considerations. The good news is that these considerations can be managed with thoughtful planning.
Other Materials
Notice of Privacy Practices
This notice describes how health information about patients may be used and disclosed and how to get access to this information.
Acknowledgement Form
This form acknowledges that the Notice of Privacy Practices was given and read by the patient.
ADA Caries Risk Assessment Forms
Data Collection Forms
Waiver and Permissions Forms
Posters and Certificates
English:
- 2013 Fill-in Flyer
- 2013 Fill-in Flyer Instructions
- 2013 Fill-in Poster
- 2013 Fill-in Poster Instructions
- 2013 Certificate
- 2013 Certificate Instructions
Spanish:
Sample Letters/House Resolution
- Sample House Resolution
- Sample Invitation Letter to Elected Officials
- Sample Invitation Letter—English
- Sample Invitation Letter—Spanish
- Sample Legislator Custom Invite 2013
- Sample Letter to Legislator (DOC)
Contact Us
We are here to help! Contact us with your questions and ideas at gkas@ada.org or 312.440.4600.



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