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*Schooled Dental Center Medical/Dental History Form6 Archibald St., Burlington, VT 05401 IAA Tel: 6584869Tel: 6521050 Fax: 65210561. The Community Health Centers (CHC) offers a great kids Schooled

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How to fill out school-based dental center

01

Obtain the necessary forms from the school-based dental center.

02

Fill out the forms with accurate and complete information about the student's medical history and contact information.

03

Schedule an appointment with the dental center for the student to receive dental care.

04

Bring the filled out forms to the appointment and ensure all necessary consent forms are signed by a parent or guardian.

05

Follow any additional instructions provided by the dental center for follow-up care or future appointments.

Who needs school-based dental center?

01

Students who do not have access to regular dental care through a private dentist or insurance provider.

02

Students who may have dental issues that are affecting their ability to learn or concentrate in school.

03

Students whose parents may not have the means to afford dental care outside of a school-based program.

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What is school-based dental center?

A school-based dental center is a facility located within a school that provides dental services to students.

Who is required to file school-based dental center?

The dental center staff or administrators responsible for managing the school-based dental center are required to file.

How to fill out school-based dental center?

The school-based dental center form can be filled out online or submitted in person to the appropriate regulatory agency.

What is the purpose of school-based dental center?

The purpose of a school-based dental center is to provide convenient access to dental care for students who may not otherwise have access.

What information must be reported on school-based dental center?

Information such as the number of patients seen, types of services provided, and any referrals made must be reported on the school-based dental center form.

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