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January 2013 California Department of Education 20142015 Oral Health Assessment/Waiver Request Form California law, Education Code Section 49452.8, now requires that your child have an oral health
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How to fill out 2014-2015 oral health assessmentwaiver
How to fill out the 2014-2015 oral health assessment waiver:
01
Obtain the form: The 2014-2015 oral health assessment waiver can usually be found online on the official website of your local health department or dental association. Alternatively, you may be able to request a copy from your child's school or dentist.
02
Read the instructions: Take the time to carefully review the instructions provided with the form. This will ensure that you understand the purpose of the waiver and the information required.
03
Fill in personal information: Begin by filling in your child's personal details, such as their full name, date of birth, and social security number. Include your contact information as the parent or guardian.
04
Answer the health-related questions: The form will likely ask a series of questions related to your child's oral health, such as whether they have received regular dental check-ups, if they have had any dental issues or treatments in the past year, or if they currently have any oral health concerns.
05
Provide a reason for the waiver (if applicable): If you are requesting a waiver for your child not to participate in the oral health assessment, there may be a section where you will need to write a short explanation for your decision. This could include religious, cultural, or medical reasons. Make sure to provide accurate and honest information.
06
Read and sign: Carefully review the completed form to ensure all information is accurate and complete. Once satisfied, sign and date the form. Depending on the instructions, both the parent or guardian and the child may need to sign.
07
Submit the form: Follow the provided instructions on where and how to submit the completed waiver form. This may involve returning it to your child's school, dentist's office, or directly to your local health department.
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What is oral health assessment waiver request?
The oral health assessment waiver request is a form that allows individuals to request an exemption from mandatory oral health assessments.
Who is required to file oral health assessment waiver request?
Individuals who are unable to undergo oral health assessments due to medical reasons or other valid excuses are required to file the waiver request.
How to fill out oral health assessment waiver request?
The form can be filled out by providing personal information, medical documentation if applicable, and explanation for the request.
What is the purpose of oral health assessment waiver request?
The purpose of the request is to allow individuals to request an exemption from mandatory oral health assessments when unable to undergo them for valid reasons.
What information must be reported on oral health assessment waiver request?
Information such as personal details, medical documentation if applicable, and explanation for the waiver request must be included.
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