R9-23-303. Participation Requirements

The contact person for a participating school shall: 1. Ensure that each child participating in the Arizona Fluoride Mouthrinse Program has a parental consent form provided by the Department that includes: a. The child’s name, and age; b. The school’s name; c. The child’s grade; d. A parent’s signature indicating permission to participate in the Arizona Fluoride Mouthrinse Program; and e. The date the parent signed the parental consent form; 2. Maintain a record of the dates the child participated in the Arizona Fluoride Mouthrinse Program for as long as the child is attending the school; 3. Request fluoride mouthrinse; 4. Ensure that the fluoride mouthrinse packets are stored at room temperature in a locked storage area inaccessible to children; and 5. Ensure that the mixed fluoride mouthrinse is stored at room temperature and inaccessible to children.