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SCHOOL DENTAL PROGRAM Consent Form and Patient Registration Patient Information: PLEASE PRINT (All items refer to the child for whom you are consenting for dental services.) If NO dental services
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How to fill out school dental program
How to fill out school dental program
01
Start by gathering all the required documents such as student's dental history, consent forms, and insurance information.
02
Make sure to have a list of designated dental clinics or providers that participate in the school dental program.
03
Schedule an appointment with a dentist or visit a designated clinic during the program's specified time frame.
04
Fill out the necessary forms and provide accurate information about the student's dental conditions, allergies, and medications.
05
Follow any additional instructions given by the dental clinic or program coordinator.
06
Attend the dental appointment as scheduled and cooperate with the dentist to ensure proper evaluation and treatment.
07
After the dental visit, make sure to submit any required follow-up documentation or reports.
08
Keep a copy of all the forms and documents for your records.
Who needs school dental program?
01
School dental programs are primarily designed for students who may not have access to regular dental care or may not have dental insurance.
02
Children from low-income families often benefit from these programs as it helps in maintaining their oral health and preventing dental problems.
03
Students with specific dental conditions or those in need of preventive measures can also benefit from school dental programs.
04
In general, any student who requires dental check-ups, cleanings, fillings, or other dental treatments can participate in a school dental program.
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