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SCHOOL BASED DENTAL SERVICES Dental Eyeteeth CleaningStainless Steel Crowns (caps)XraysFluoride TreatmentDental Referrals (as needed)FillingsSealants (on adult molars)Pulpotomy (removing tooth nerve)Extractions
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How to fill out dps mobile dental consent

01
Open the DPS Mobile Dental Consent form.
02
Read and understand the purpose of the form and the information it requires.
03
Start by filling out the patient's information, including their name, date of birth, and contact information.
04
Provide the patient's dental insurance details, if applicable.
05
Indicate any known medical conditions, allergies, or medications the patient is currently taking.
06
Fill out the consent section, acknowledging that you understand and give permission for the dental procedures.
07
Sign and date the form to validate your consent.
08
If necessary, provide any additional comments or information that may be relevant.
09
Review the form for accuracy and completeness before submitting it.
10
Submit the completed DPS Mobile Dental Consent form via the designated submission method.

Who needs dps mobile dental consent?

01
Anyone who is receiving dental treatment from DPS Mobile Dental will need to fill out the DPS Mobile Dental Consent form.
02
This includes both new and existing patients and is required to ensure proper consent is obtained before any dental procedures are performed.
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DPS mobile dental consent is a form that allows individuals to give permission for dental treatment to be performed on a mobile basis.
Any individual who wishes to receive mobile dental treatment is required to fill out and file the DPS mobile dental consent form.
To fill out the DPS mobile dental consent form, individuals must provide their personal information, sign the form, and indicate the type of treatment they are authorizing.
The purpose of DPS mobile dental consent is to ensure that individuals are aware of and consent to the dental treatment being performed on a mobile basis.
DPS mobile dental consent must include the individual's personal information, details of the treatment being authorized, and the individual's signature.
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