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IL Proof of School Dental Examination Form 2025-2026 free printable template

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This form is used to certify that children in specific grades have undergone a dental examination as required by Illinois law.
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People Also Ask about

A dental exam is part of a checkup of your teeth and gums. When you see your dentist for a checkup, the visit usually includes three parts: A dental cleaning to remove the buildup of plaque, a sticky film of bacteria that coats your teeth. X-rays of your teeth on certain visits, depending on the health of your teeth.
Dental Form (PDF) The Pennsylvania School Health Law requires that children attending school in the Commonwealth receive a dental examination at stated intervals. A dental examination is required on first entry into school (Kindergarten or Grade 1) and in grades 3 and 7.
The kindergarten dental checkup requirement, AB 1433, signed into law in 2006, helps schools identify children suffering from untreated dental disease and helps parents establish a dental home for their children.
Dental Form (PDF) The Pennsylvania School Health Law requires that children attending school in the Commonwealth receive a dental examination at stated intervals. A dental examination is required on first entry into school (Kindergarten or Grade 1) and in grades 3 and 7.
The Dental Admission Test is required before attending dental school. The Advanced Dental Admission Test is for those interested in post-graduate programs. The Admission Test for Dental Hygiene is taken before entering dental hygiene school. The Integrated National Board Dental Exam replaces the NBDE Parts I and II.
Illinois law (Child Health Examination Code, 77 Ill. Adm. Code 665) states all children in kindergarten, second, sixth, and ninth grades of any public, private, or parochial school shall have a dental examination. The examination must have taken place within 18 months prior to May 15 of the school year.

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Proof of school dental is a document that verifies a student's dental health and confirms that they have received required dental examinations and treatments as per school policies.
Typically, parents or guardians of students are required to file proof of school dental to ensure their child meets the dental health requirements set by the school.
To fill out proof of school dental, parents or guardians should provide the student's personal information, details of the dental examination, and signature from a licensed dentist or dental hygienist.
The purpose of proof of school dental is to ensure that students have access to necessary dental care, promote dental health, and prevent dental issues that could impact their education.
The information that must be reported includes the student's name, date of birth, date of dental examination, findings from the examination, any treatments received, and the signature and license number of the dental professional.
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