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Revised 8/02/17KEEP FOR YOUR RECORDSRevised 1/23/2017NYC Department of Education Oral Health Clinic Program School Parental Consent Formalist ELLIOT P. P. SCALING, SCALING, DDS GENERAL DENTIST, DENTIST,
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Obtain the Smile NY Consent Form from the relevant authority or organization.
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Who needs smile ny consesnt form?

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Anyone who is seeking dental treatment or services through the Smile NY program may need to fill out the Smile NY Consent Form. This includes individuals who qualify for subsidized dental care, have enrolled in the program, and are receiving treatment or services at a Smile NY dental facility.
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The Smile NY consent form is a document that allows individuals to give their permission for a specific dental treatment or procedure.
Patients who undergo dental treatment or procedures in the Smile NY program are required to fill out and file the consent form.
Patients can fill out the Smile NY consent form by providing their personal information, the details of the treatment or procedure, and signing the form to indicate their consent.
The purpose of the Smile NY consent form is to ensure that patients understand the treatment or procedure they are receiving and give their informed consent.
The Smile NY consent form must include the patient's name, contact information, details of the treatment or procedure, any risks or alternatives, and the signature of the patient.
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