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COVID-19 Pandemic Dental Screening and Consent Form NAME: (Last) ___ (First) ___ D.O.B. ___ Cell #___ Email ___ I understand that exposure to the Novel Coronavirus MAY cause Coronavirus Disease 2019
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How to fill out school-based dental preventive services
How to fill out school-based dental preventive services
01
Obtain a consent form from the parent or guardian of the student.
02
Schedule a time for the dental preventive services to take place at the school.
03
Set up a space at the school where the services can be performed, such as a classroom or gymnasium.
04
Have a licensed dental professional administer the preventive services, such as dental cleanings, fluoride treatments, and sealants.
05
Keep accurate records of which students received which services for future reference.
Who needs school-based dental preventive services?
01
Students who may not have access to regular dental care outside of school.
02
Students who may have a higher risk of developing dental problems, such as those with a history of cavities or poor oral hygiene.
03
Students who may have difficulty getting to a dentist's office due to transportation issues or lack of parental availability.
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What is school-based dental preventive services?
School-based dental preventive services refer to dental services that are provided in schools to prevent oral health problems.
Who is required to file school-based dental preventive services?
The dental provider or organization that provides the preventive services in schools is required to file the school-based dental preventive services.
How to fill out school-based dental preventive services?
School-based dental preventive services can be filled out by providing information about the services provided, the number of students served, and any follow-up recommendations.
What is the purpose of school-based dental preventive services?
The purpose of school-based dental preventive services is to promote good oral health habits and prevent dental issues among school-aged children.
What information must be reported on school-based dental preventive services?
Information such as the type of services provided, the number of students served, any referrals made for further treatment, and any follow-up recommendations must be reported on school-based dental preventive services.
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