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ANNUAL DENTAL SCREENING FORM THIS FORM MUST BE COMPLETED, SIGNED AND DATED BY A DENTIST FORM MUST BE PROVIDED WITHIN 60 BUSINESS DAYS OF ENTRANCE INTO THE PRESCHOOL PROGRAM AND ANNUALLY THEREAFTER
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Start by carefully reading all the instructions on the annual dental screening form.
02
Fill out your personal information such as name, date of birth, and contact details accurately.
03
Provide information about your dental history and any current dental concerns or issues.
04
Answer all the questions regarding your oral hygiene habits and dietary habits truthfully.
05
If there is a section for any medication you are currently taking, make sure to list them all.
06
Sign and date the form once you have completed all the required fields.

Who needs annual dental screening form?

01
Anyone who wants to maintain good oral health and prevent dental problems.
02
Individuals who want to monitor changes in their dental health over time.
03
People with a history of dental issues or high risk for dental problems.
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Annual dental screening form is a document used to report the results of a dental exam conducted once a year.
All employees are required to file annual dental screening form as part of their health assessment.
To fill out annual dental screening form, employees must visit a dental provider for a check-up and have the results documented on the form.
The purpose of annual dental screening form is to ensure employees are maintaining good dental health and to address any dental issues early on.
Information reported on annual dental screening form includes the date of the exam, findings of the dental provider, any recommended follow-up treatments, and the signature of the employee and dental provider.
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