Molina Healthcare Topical Fluoride Dental Screening Training Attestation

Question Title

Training Topics Covered:

Importance, efficacy and mechanism of fluoride

Identify high risk patients for dental decay

Fluoride application, frequency and aftercare recommendations

How to address common questions about fluoride

(Required.)

I hereby attest that I have successfully completed the Topical Fluoride Dental Screening Training, provided by Molina Healthcare in collaboration with California Medi-Cal Managed Care Health Plans, as required by the Department of Health Care Services. I understand that this training is valid for 4 years from the completion date below.

Question Title

Please add your information below in acknowledgement of training. (Required.)

Name and title of person completing training:

Service Location/Provider Address:

Provider NPI:

Completion Date (i.e. 09/05/2025):

To receive a copy of your completed attestation for your records, please check the box labeled “Send me a copy of my responses via email” and enter your email address. This will ensure the attestation completion page is sent directly to your inbox.

Molina Healthcare Topical Fluoride Dental Screening Training Attestation

Question Title

* Training Topics Covered: Importance, efficacy and mechanism of fluoride Identify high risk patients for dental decay Fluoride application, frequency and aftercare recommendations How to address common questions about fluoride (Required.)

Question Title

* Please add your information below in acknowledgement of training. (Required.)

Training Topics Covered:

Importance, efficacy and mechanism of fluoride

Identify high risk patients for dental decay

Fluoride application, frequency and aftercare recommendations

How to address common questions about fluoride

(Required.)

Please add your information below in acknowledgement of training. (Required.)