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Rev.12/14ALL KIDS SCHOOLBASED DENTAL PROGRAM CONSENT FORM DENTAL EXAMPLEASE PRINT IN INKServices Rendered By:MUST BE RETURNED TOMORROW (ONLY IF YOU WANT THESE SERVICES)Miles of Smiles, Ltd.NAME OF

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What is school-based dental program consent?

School-based dental program consent is a formal agreement that allows dental professionals to provide dental services to students within a school setting, ensuring that parents or guardians approve of the treatment.

Who is required to file school-based dental program consent?

Parents or guardians of the students participating in the dental program are required to file the school-based dental program consent.

How to fill out school-based dental program consent?

To fill out the school-based dental program consent, parents or guardians need to provide their contact information, the student's details, sign the form indicating their consent, and may need to answer health-related questions relevant to dental treatment.

What is the purpose of school-based dental program consent?

The purpose of school-based dental program consent is to ensure that parents or guardians are informed about the dental services their child will receive and to obtain their permission, thus promoting safe and responsible dental care.

What information must be reported on school-based dental program consent?

The information that must be reported on the school-based dental program consent includes the child's name, date of birth, school, medical history, emergency contact details, and any specific dental consent statements.

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