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OAS/DSS Kentucky Dental Screening/Examination Form for School EntryStudent Name: LastBirth date:First / /MiddleGender: 0 Male 1 FemaleParent or Guardian: NameKDESHS005Test Type (check one) Screening
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0 represents male and 1 represents female.
Both males and females may be required to file, depending on the specific requirements.
You can fill out the form by providing the required information for either male or female as applicable.
The purpose depends on the context in which the information about male or female is being collected.
The information reported could include demographic data, personal characteristics, or any other relevant details.
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