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ROCHESTER SCHOOL DENTAL EXAM FORM Name: Age: Date: Has patient received dental care previously? Soft Tissue Examples NORMAL NO ABNORMAL REMARKS: Dentition Exam: Caries Present YES NO Deciduous: CAUSAL
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Step 1: Begin by opening the kindergarten dental exam formdocx on your computer.
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Step 2: Fill out the child's personal information section, including their full name, date of birth, and address.
03
Step 3: Provide the contact information of the parent or guardian, including their name, phone number, and email address.
04
Step 4: Enter the name and contact information of the dentist who performed the dental exam.
05
Step 5: Fill out the date of the dental exam and indicate whether the child has any existing dental conditions or issues.
06
Step 6: Sign and date the form to certify that the information provided is accurate and complete.
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Step 7: Submit the completed form to the appropriate authority or organization as required.

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The kindergarten dental exam formdocx is needed by parents or guardians of kindergarten-age children as a requirement for enrollment or participation in educational programs.
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Kindergarten dental exam formdocx is a document that is used to record the results of a dental exam for children entering kindergarten.
Parents or guardians of children entering kindergarten are required to file the kindergarten dental exam formdocx.
To fill out the kindergarten dental exam formdocx, parents or guardians must provide information about the child's dental exam, including the date of the exam, dentist's name, and any findings or recommendations.
The purpose of kindergarten dental exam formdocx is to ensure that children entering kindergarten have received a dental exam and to provide documentation of the exam results.
Information that must be reported on the kindergarten dental exam formdocx includes the date of the exam, the dentist's name, any findings or recommendations from the exam, and the parent or guardian's signature.
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