>> FORMS & Setup <<

THANK YOU for your passion and interest to set up a screening event!  The first step is to register your site.  If you haven't already done so, click on Screening Site Sign Up.

Below are links to various documents that will help you get started.  As we move closer to the event, we will be adding new documents in this area to help you with Advertising, Public Relations, Soliciting Volunteers, and Forms to be used for your screening event.

You may want to add this page to your Favorites so you can check back with us periodically for new documents as we add them.

Getting Started

      PowerPoint Presentation - How to get started

      Screening Event - Things to Consider

      Six-step Screening - A guide for oral cancer screening   (from www.sixstepscreening.org)

Press Kit for 2012

      Fact Sheet

      Press Release1 - Local

      Publicity Guide

Screening Documents For Your Event

      Patient Screening Form - English

      Patient Screening Form - Spanish

      Screening Event Results - How to keep track of the numbers

      Screening Event Results - Form to use for final numbers

      Speaker Memo and Guidelines

Sample Documents for Large Events

      Screening Overview

      Screening Job Descriptions

      Screening Timeline

      Screening Supply List

      Volunteer Schedule Template

School Forms and Documents

      Invite Letter for School Talk

      Confirmation Letter for School Talk

      Media Advisory for School Talk

      PowerPoint Presentation - School Talk (Contains graphic photos)

Government Forms

      Proclamation Letter to Government Official

      Proclamation Form for Government Official

Related Materials

      Event Poster

      Event Information Card

      Educational and Self-Exam Brochure

      T-shirt Front Image

      T-shirt Back Image

      Pioglitazone Study brochure

Head and Neck Cancer Alliance

PO Box 21688
Charleston, South Carolina 29413
Phone: 1.866.792.HNCA (4622)
Fax: 1.843.792.0546

Copyright 2011