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Child Health/Dental History Form
Patient\'s Name
1LASTPncne... Relationship 10 PatientPart11t\'s/Guardian\'s Name
AddressNicknameIWc, I, Date of B, rthSexMAmerican Dental Association
www.ada.orgFHave
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What is child heafi-hdental hisi-orfd form?
The child heafi-hdental hisi-orfd form is a form used to report a child's health and dental information.
Who is required to file child heafi-hdental hisi-orfd form?
Parents or guardians of the child are required to file the child heafi-hdental hisi-orfd form.
How to fill out child heafi-hdental hisi-orfd form?
The child heafi-hdental hisi-orfd form can be filled out online or manually by providing the necessary health and dental information of the child.
What is the purpose of child heafi-hdental hisi-orfd form?
The purpose of the child heafi-hdental hisi-orfd form is to ensure that the child's health and dental needs are documented and addressed.
What information must be reported on child heafi-hdental hisi-orfd form?
The child heafi-hdental hisi-orfd form must include information such as the child's medical history, current health conditions, and dental records.
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