​​Local Oral Health Programs

2017-2022 Local Health Jurisdiction Oral Health Program Guidelines

• 2017-2022 Guidelines (PDF)

REQUIRED DOCUMENTS

• DOCUMENT A: Application Checklist (WORD)
• DOCUMENT B: Grantee Information Form (WORD)
• DOCUMENT C: Narrative Summary Form (WORD)
• DOCUMENT D: Scope of Work and Deliverables (WORD)
• DOCUMENT E: Documentation Checklist for Established LOHPs Only (WORD)
• DOCUMENT F: Supplemental Documentation Checklist (WORD)
• DOCUMENT G: Work Plan Template (WORD)
• DOCUMENT H: Detailed Budget and Budget Justification (Template) (EXCEL)

SUPPORTING APPENDICES

• APPENDIX 1:  Local Health Jurisdiction Funding Table (PDF)
• APPENDIX 2: Status of  Oral Health in California: Oral Disease Burden and Prevention 2017 (PDF)
• APPENDIX 3: Resources List and Links (PDF)
• APPENDIX 4: Local Oral Health Program Logic Model (PDF)
• APPENDIX 5: Work Plan Instructions (PDF)
• APPENDIX 6: Detailed Budget and Budget Justification Instructions (PDF)
• APPENDIX 7: CDPH County Indirect Rates FY 17/18 (PDF)
• APPENDIX 8: California Oral Health Plan At-a-Glance (PDF)