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Iowa Department of Public Health CERTIFICATE OF DENTAL SCREENING This certificate is not valid unless all fields are complete. RETURN COMPLETED FORM TO CHILD SCHOOL. Student Information (please print) Student

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How to fill out return completed form:

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4. Use clear and legible handwriting: If you are filling out a physical form by hand, make sure to use clear and legible handwriting. If possible, use a black or blue pen to make the form easier to read. Illegible handwriting can cause confusion and may require you to fill out the form again.
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Remember that the specific form and who needs it will vary depending on the purpose and the organization or institution involved. Always refer to the instructions or contact the relevant authority if you are unsure about the form or its requirements.

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The return completed form is to be submitted to the designated department or individual.

Who is required to file return completed form to?

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The return completed form should be filled out completely and accurately according to the instructions provided.

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The purpose of the return completed form is to provide necessary information or documentation.

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The information to be reported on the return completed form may vary depending on the specific requirements.

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