Dc Oral Health Form. Tb case report form [pdf] vital records Web district of columbia oral health (dental provider) assessment form parent/guardian instructions:
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Child’s clinical examination (to be completed by the dental provider)(please use key to document all findings on line next to each tooth) tooth # tooth # tooth # tooth # _______ _______ _______ Web oral health assessment form. The dental provider should complete part 2. Web oral health assessment form for all students aged 3 years and older, use this form to report their oral health status to their school/child care facility. Child’s personal information part 2. Student information (to be completed by parent/guardian) Web dc oral health (dental provider) assessment form physical health requirement all participating children must comply with physical health standards set forth by the dc department of health. Web the dc department of health recommends that children 3 years of age and older have an oral health examination performed by a licensed dentist and have the dc oral health assessment form completed. Take this form to the student's dental provider. Universal health certificate and oral health assessment submission and review process.
The dental provider should complete part 2. Web oral health assessment form for all students aged 3 years and older, use this form to report their oral health status to their school/child care facility. Take this form to the student's dental provider. Web all health suite staff collaborate with school personnel to ensure student health needs are met during the school day. Web the dc department of health recommends that children 3 years of age and older have an oral health examination performed by a licensed dentist and have the dc oral health assessment form completed. Instructions • complete part 1 below. This form is a confidential document. Child’s clinical examination (to be completed by the dental provider)(please use key to document all findings on line next to each tooth) tooth # tooth # tooth # tooth # _______ _______ _______ Part 1:please complete all sections including child’s race or ethnicity. Student information (to be completed by parent/guardian) This form replaces the dental appraisal form used for entry into dc schools, all head start programs, childcare providers, camps, after school programs, sports or athletic participation, or any other district of columbia activity requiring a physical examination.
