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Get the free Child Placing Agency Report of Dental Examination - dss virginia

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This form certifies that a child has undergone a dental examination and includes details on the examination, dental work performed, and recommendations.
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How to fill out child placing agency report

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How to fill out Child Placing Agency Report of Dental Examination

01
Obtain the Child Placing Agency Report of Dental Examination form from the appropriate agency.
02
Fill in the child's full name, date of birth, and any identification numbers.
03
Provide the child's current address and the name of the caregiver or foster parent.
04
Complete the dental examination details, including the date of the examination and the name of the dentist or dental professional who performed it.
05
Record the findings from the dental examination, including any cavities, necessary treatments, or overall oral health status.
06
Obtain the signature of the dentist and the date of the signature.
07
Review the completed form for accuracy and completeness.
08
Submit the form to the Child Placing Agency by the required deadline.

Who needs Child Placing Agency Report of Dental Examination?

01
Foster parents or guardians who are responsible for children placed in their care.
02
Children being placed into foster care who require dental examination documentation.
03
Child Placing Agencies that need to comply with state or federal regulations regarding the health and well-being of children in their care.
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The Child Placing Agency Report of Dental Examination is a document that provides a record of dental health and treatment for children in foster care or adoption services, ensuring their oral health needs are documented and addressed.
Child Placing Agencies, along with dental professionals who conduct examinations of children in foster care or adoption programs, are typically required to file this report.
To fill out the Child Placing Agency Report of Dental Examination, the dental provider must complete sections detailing the child's dental health status, any treatments provided, recommendations for ongoing care, and relevant personal information about the child.
The purpose of the Child Placing Agency Report of Dental Examination is to ensure that children in foster care have access to essential dental care, track their dental health over time, and facilitate any necessary interventions for their oral health.
The report must include information such as the child's name, age, dental examination results, any dental treatments or procedures performed, recommendations for future dental care, and the signature of the dentist or dental hygienist who conducted the examination.
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