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Clearinghouse for Multilingual Documents (CMD)

Instructions for using the CMD System

Available Translations

Important Note

As a form of assistance to local educational agencies (LEAs), the California Department of Education (CDE) offers, free of charge, the translations listed below. CMD translations may be downloaded by schools, districts, and county offices; customized to meet local needs; edited to remove CMD document information; and then disseminated to parents. The CDE recommends that LEAs first confer with local translators, however, to determine any need for modifications, as there can be many variations in translation.

It is inappropriate to guide parents to CMD translations via direct hyperlinks to the CMD Web site because the translations commonly require additions and modifications by the agency using the translation.

Oral Health Assessment/Waiver Request Form

The Oral Health Assessment/Waiver Request Form accompanies the Oral Health Notification letter.

Arabic - Oral Health Assessment/Waiver Request Form (PDF)
Arabic - Oral Health Assessment/Waiver Request Form (DOC)
Armenian (Eastern) - Oral Health Assessment Form (DOC)
Armenian (Eastern) - Oral Health Assessment Form (PDF)
Armenian (Western) - Oral Health Assessment Form (DOC)
Armenian (Western) - Oral Health Assessment Form (PDF)
Chinese (simplified) - Oral Health Assessment Form (DOC)
Chinese (simplified) - Oral Health Assessment Form (PDF)
Chinese (traditional) - Oral Health Assessment Form (DOC)
Chinese (traditional) - Oral Health Assessment Form (PDF)
German - Oral Health Assessment/Waiver Request Form (DOC)
German - Oral Health Assessment/Waiver Request Form (PDF)
Hmong - Oral Health Assessment Form (DOC)
Hmong - Oral Health Assessment Form (PDF)
Japanese - Oral Health Assessment/Waiver Request Form (PDF)
Japanese - Oral Health Assessment/Waiver Request Form (DOC)
Khmer (Cambodian) - Oral Health Assessment/Waiver Request Form (DOC)
Khmer (Cambodian) - Oral Health Assessment/Waiver Request Form (PDF)
Korean - Oral Health Assessment/Waiver Request Form (PDF)
Korean - Oral Health Assessment/Waiver Request Form (DOC)
Pilipino (Tagalog) - Oral Health Assessment Form (DOC)
Pilipino (Tagalog) - Oral Health Assessment Form (PDF)
Portuguese (Continental) - Oral Health Assessment/Waiver Request Form (DOC)
Portuguese (Continental) - Oral Health Assessment/Waiver Request Form (PDF)
Punjabi - Oral Health Assessment Form (DOC)
Punjabi - Oral Health Assessment Form (PDF)
Russian - Oral Health Assessment/Waiver Request Form (DOC)
Russian - Oral Health Assessment/Waiver Request Form (PDF)
Spanish - Oral Health Assessment/Waiver Request Form (PDF)
Spanish - Oral Health Assessment/Waiver Request Form (DOC)
Vietnamese - Oral Health Assessment Form (DOC)
Vietnamese - Oral Health Assessment Form (PDF)

About The Translations Listed Above

For many translations, versions are provided in both Microsoft Word (DOC) and in Adobe Acrobat Portable Document Format (PDF). Word format allows users to easily save or modify text; if a user is uncertain if his or her computer operating system allows an accurate depiction of authentic letters or characters, the PDF versions can sometimes be helpful for the purpose of verification. If you are unable to accurately view a document written in a particular language, please refer to the Troubleshooting page on the Clearinghouse for Multilingual Documents (CMD) site. If you have comments or questions regarding a particular translation, please e-mail the CDE’s Clearinghouse for Multilingual Documents (CMD) at cmd@cde.ca.gov. Visit the CMD site for additional information.
Questions: Clearinghouse for Multilingual Documents | cmd@cde.ca.gov | 916-319-0881

California Department of Education
1430 N Street
Sacramento, CA 95814

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