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Schooled Dental Program
Bridging Brighter Smiles (formerly Smiles 4 Life) offers
preventative dental care right at school for students Prey
through 12th grade. Visits are held throughout the school
year.
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How to fill out school-based dental program

How to fill out school-based dental program
01
Obtain necessary forms from the school or dental program coordinator.
02
Complete personal information including name, age, grade, and contact information.
03
Provide insurance information if applicable.
04
Indicate any specific dental concerns or needs.
05
Sign and date the form before submitting it to the designated location.
Who needs school-based dental program?
01
Children who may not have access to regular dental care.
02
Families who may not be able to afford dental services.
03
Schools looking to provide preventive dental care for their students.
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What is school-based dental program?
A school-based dental program is a program that provides dental services to students while they are at school.
Who is required to file school-based dental program?
The school or organization providing the dental program is required to file the school-based dental program.
How to fill out school-based dental program?
The school-based dental program can be filled out by providing information about the services offered, the number of students served, and other relevant details.
What is the purpose of school-based dental program?
The purpose of a school-based dental program is to ensure that students have access to dental care and promote good oral health.
What information must be reported on school-based dental program?
Information such as the types of services provided, number of students served, and any referrals made must be reported on the school-based dental program.
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