Dc Oral Health Form. 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 district of columbia oral health (dental provider) assessment form part 1.
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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 all health suite staff collaborate with school personnel to ensure student health needs are met during the school day. Child’s personal information 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 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 # _______ _______ _______ Please indicate the ward of your home address, list primary care provider, dental provider, and type of dental insurance. Universal health certificate and oral health assessment submission and review process. 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. 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.
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. Tb case report form [pdf] vital records Child’s personal information part 2. Take this form to the student's dental provider. This form is a confidential document. Instructions • complete part 1 below. Part 1:please complete all sections including child’s race or ethnicity. Web oral health assessment form. 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. The dental provider should complete part 2. Student information (to be completed by parent/guardian)
