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Division Wellness Program Dental Exam Verification Form 2015 Section 1 (Dentists Section) This form is to verify that (Patients Name (Please Print)) had a Periodic Oral Evaluation on / / Dentists
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How to fill out a wellness program dental exam:

01
Start by carefully reading through the instructions provided for the wellness program dental exam. Make sure you understand all the requirements and necessary documentation.
02
Gather all the relevant information and documents that may be required for the dental exam. This could include your insurance information, previous dental records, and any forms provided by the wellness program.
03
Contact your dentist to schedule an appointment for the dental exam. Inform them that this exam is for a wellness program and provide any necessary details or paperwork beforehand.
04
Attend the dental exam on the scheduled date and time. Make sure to arrive a few minutes early to fill out any additional forms or paperwork required by the dentist or the wellness program.
05
During the dental exam, follow the instructions given by the dentist. They may conduct various procedures such as X-rays, teeth cleaning, or oral examinations to assess your dental health.
06
If any additional procedures or treatments are recommended by the dentist, discuss them with the dentist and decide on the best course of action.
07
After the dental exam is complete, request the necessary documentation or forms to verify that you have completed the wellness program dental exam.
08
Fill out any remaining paperwork or forms accurately and completely. Double-check all the information provided to ensure its accuracy.
09
Submit the completed paperwork, along with any required attachments or evidence, to the designated recipient or address specified by the wellness program.
10
Keep copies of all the documentation and forms for your records.

Who needs a wellness program dental exam?

01
Employees who are enrolled in a wellness program that includes dental health as part of its requirements.
02
Individuals who are seeking to maintain good oral hygiene and overall dental health.
03
Individuals who may require dental treatments or procedures and want to take advantage of the wellness program benefits for discounted or covered services.
04
Anyone who is proactive about their oral health and wants to take advantage of preventive dental care offered through wellness programs.
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A wellness program dental exam is a dental check-up that is part of a workplace wellness program to promote oral health among employees.
Employers who offer wellness programs that include dental exams may be required to file this information for their employees.
The wellness program dental exam form should be completed by the employee during their dental check-up and then submitted to the employer for record-keeping purposes.
The purpose of a wellness program dental exam is to encourage employees to prioritize their oral health and to track any dental issues that may arise.
The wellness program dental exam form may require information such as the date of the exam, the name of the dentist, and any findings or recommendations.
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