Dc Oral Health Form

Dc oral health assessment form Fill out & sign online DocHub

Dc Oral Health Form. Universal health certificate and oral health assessment submission and review process. 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 # _______ _______ _______

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. 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 # _______ _______ _______ The oral health program within the health care access bureau is responsible for assessing and promoting oral health with an emphasis on access to comprehensive oral health services for all dc residents through a dental home. Web oral health assessment form. Universal health certificate and oral health assessment submission and review process. The dental provider should complete part 2. 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. Child’s personal information part 2. Please indicate the ward of your home address, list primary care provider, dental provider, and type of dental insurance. Web district of columbia oral health (dental provider) assessment form parent/guardian instructions:

This form is a confidential document. Instructions • complete part 1 below. 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. Please indicate the ward of your home address, list primary care provider, dental provider, and type of dental insurance. Web oral health assessment form. • return fully completed and signed form to the student's school/child care facility. Child’s personal information part 2. This form is a confidential document. 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. Take this form to the student's dental provider.