DHHS Head Start Oral Health Form - Children free printable template

Head Start Oral Health Form Children Patient Information Child s name n date of birth parent s/guardian s name n phone number n city Address This practice is the child s dental home: Yes n state zip

How to fill out DHHS Head Start Oral Health Form

How to fill out DHHS Head Start Oral Health Form

1. Gather the child's personal information, including their name, date of birth, and contact information.
2. Provide information about the child's dental history, including any previous treatments or dental issues.
3. Fill in details about the child's current oral health status, such as the condition of their teeth and gums.
4. Indicate the child's current dental provider and their contact information.
5. If applicable, list any dental insurance details or coverage the child has.
6. Review all information for accuracy before submission.
7. Submit the completed form to the appropriate Head Start program representative.

Who needs DHHS Head Start Oral Health Form?

1. Children enrolled in the Head Start program who require dental assessments and care.
2. Parents or guardians of children in Head Start who need to provide oral health information for their child.
3. Head Start staff requiring current dental health information to support children’s health and wellness.

People Also Ask about

What are the categories of the oral health assessment tool?

Oral Health Assessment Tool (OHAT) It was designed to measure the oral health status, monitor oral hygiene, and identify the referral need based on the eight specified categories- lips, tongue, gums and tissues, saliva, natural teeth, dentures, oral cleanliness, and dental pain.

What is an oral health assessment tool?

Oral health assessment tool (OHAT) It consists of a visual inspection using eight categories of oral health: lips. tongue. gums and oral tissue. saliva.

What is Beck oral assessment tool?

Beck Oral Assessment Score (BOAS) A scoring system looking at five individual aspects of oral health. These include assessment of the lips, gingiva and oral mucosa, tongue, teeth, saliva.

What is an oral assessment in dentistry?

An oral health assessment, also known as a dental examination, is a thorough evaluation of your oral health. This typically includes an examination of the teeth, gums, tongue, and other parts of the mouth, as well as a review of your medical and dental history.

How reliable is the oral health assessment tool?

The tool included the eight subscales of lips, tongues, gums and tissues, saliva, natural teeth, dentures, oral cleanliness, and dental pain. The intraclass correlation coefficients for oral health assessment tool were set as 0.78 for intra-carer and 0.74 for inter-carer reliability (Chalmers et al., 2005).

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What is DHHS Head Start Oral Health Form?

The DHHS Head Start Oral Health Form is a document used to assess and monitor the oral health status of children enrolled in the Head Start program.

Who is required to file DHHS Head Start Oral Health Form?

Parents or guardians of children enrolled in the Head Start program are typically required to file the DHHS Head Start Oral Health Form.

How to fill out DHHS Head Start Oral Health Form?

To fill out the DHHS Head Start Oral Health Form, you need to provide personal information about the child, details about their dental health and visits, and any relevant medical history.

What is the purpose of DHHS Head Start Oral Health Form?

The purpose of the DHHS Head Start Oral Health Form is to ensure that children receive the necessary dental care and to promote awareness of oral health issues within the Head Start community.

What information must be reported on DHHS Head Start Oral Health Form?

The information that must be reported includes the child's name, date of birth, dental history, recent dental visits, caregivers' contact information, and any oral health issues or treatments needed.