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Get the free Give Kids a Smile Day - Procedure Consent Form

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Give Kids a Smile Day Procedure Consent Form1. I ___parent/guardian of ___ authorize DRS. ___ to perform the following procedure: ___dental examination ___cleaning ___fluoride treatments ___rays ___fillings
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How to fill out give kids a smile

01
Contact a participating dental office that is offering the Give Kids a Smile program.
02
Schedule an appointment for your child on the designated Give Kids a Smile day.
03
Fill out any necessary paperwork provided by the dental office.
04
Bring your child to the appointment on the scheduled day.
05
Follow any instructions given by the dental staff during the appointment.

Who needs give kids a smile?

01
Give Kids a Smile is for children who may not have access to regular dental care or whose families may not be able to afford dental treatment.
02
It is especially beneficial for children from low-income families or those without dental insurance.
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Give Kids a Smile is a program that provides free dental care to children in need.
Dentists and dental professionals are required to participate in Give Kids a Smile by providing free services to eligible children.
To participate in Give Kids a Smile, dentists and dental professionals must register with the program and provide free dental services to eligible children on the designated Give Kids a Smile Day.
The purpose of Give Kids a Smile is to improve children's oral health by providing free dental care to those in need and raising awareness about the importance of oral health.
Dentists and dental professionals must report the number of children treated, the types of services provided, and any follow-up care that is recommended.
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