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(Date of Program) (School) Florida Department of Health in Broward County (Return By) (Teacher) Dental Sealant Program FREE to Parent or Guardian Child's Name: Last First Date of Birth Sex M F mm/dd/YYY
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How to fill out school based sealant consent

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How to fill out school based sealant consent

01
Gather the necessary documents and items, including the school based sealant consent form, a pen, and any additional information or instructions provided by the school.
02
Read through the school based sealant consent form carefully to understand the information and terms included.
03
Fill out the student's name, date of birth, grade level, and other required personal information in the appropriate fields on the form.
04
Indicate whether or not you give consent for the student to receive dental sealants by checking the designated box or filling out the provided section.
05
Review any additional information or questions on the form and provide appropriate responses, if necessary.
06
Sign and date the consent form as the parent or legal guardian, indicating your authorization for the school to proceed with the dental sealant procedure.
07
Return the completed and signed consent form to the school as instructed, making sure to retain a copy for your records.
08
Follow any further instructions or recommendations provided by the school or dental professionals regarding the school based sealant consent process.

Who needs school based sealant consent?

01
Parents or legal guardians of students who meet the eligibility criteria for receiving school based sealants need to complete the school based sealant consent.
02
School based sealant programs are typically offered to students in specific grades (e.g., elementary or middle school) who may benefit from dental sealants to prevent tooth decay.
03
It is important to consult with the school or dental professionals to determine specific eligibility requirements and whether your child needs school based sealant consent.
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School based sealant consent is a form that allows parents or guardians to give permission for their child to receive dental sealants at school.
Parents or guardians of school-aged children are required to file school based sealant consent.
School based sealant consent can typically be filled out either online through a school portal or by completing a paper form provided by the school.
The purpose of school based sealant consent is to allow children to receive dental sealants at school to prevent tooth decay.
School based sealant consent typically requires information such as the child's name, date of birth, parent or guardian contact information, and any relevant medical history.
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