
CA PUSD Oral Health Assessment Form 2020-2025 free printable template
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NOWAY UNIFIED SCHOOL DISTRICT
ORAL HEALTH NOTIFICATION LETTER
(to accompany Oral Health Assessment/Waiver Request Form)
Dear Parent or Guardian:
To make sure your child is ready for school, California
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How to fill out california health assessment form

How to fill out CA PUSD Oral Health Assessment Form
01
Obtain the CA PUSD Oral Health Assessment Form from the school's website or the school office.
02
Review the form for sections that require filling out personal information such as the child's name, date of birth, and school.
03
Complete the oral health history section, making sure to provide accurate information about any dental conditions or treatments.
04
Fill in the section regarding the child's dental visit, including the date of their last dental check-up.
05
Provide information about the child's dental insurance, if applicable.
06
Ensure that the form is signed by the parent or guardian and dated.
07
Submit the completed form to the school by the specified deadline.
Who needs CA PUSD Oral Health Assessment Form?
01
All students entering kindergarten or transferring into California public schools.
02
Children who have not submitted an oral health assessment form in previous years.
03
Parents or guardians who wish to ensure their child's oral health is assessed by the school.
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What is CA PUSD Oral Health Assessment Form?
The CA PUSD Oral Health Assessment Form is a document used by public schools in California to assess and report the oral health status of students entering certain grades, typically kindergarten and first grade.
Who is required to file CA PUSD Oral Health Assessment Form?
Parents or guardians of students entering kindergarten or first grade in California are required to file the CA PUSD Oral Health Assessment Form.
How to fill out CA PUSD Oral Health Assessment Form?
To fill out the CA PUSD Oral Health Assessment Form, parents or guardians should provide information regarding the child's oral health assessment conducted by a licensed dental professional, including details about the examination results and any necessary follow-up treatment.
What is the purpose of CA PUSD Oral Health Assessment Form?
The purpose of the CA PUSD Oral Health Assessment Form is to ensure that children receive proper dental evaluations and to identify any oral health issues early, promoting better dental health awareness and access to dental care.
What information must be reported on CA PUSD Oral Health Assessment Form?
The information that must be reported on the CA PUSD Oral Health Assessment Form includes the child's name, the date of the oral health assessment, findings from the examination, any treatment needs, and the signature of the assessing dental professional.
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