Printable Dental Forms For School In Dc This Form replaces the previous version of the District of Columbia Oral Health Dental Provider Assessment Form used for entry into DC Schools all Head Start programs Childcare providers camps all school programs sports or athletic participation or any other District of Columbia activity requiring a physical examination
All students attending school in DC must present proof of appropriately spaced immunizations by the first day of school Please complete and return your student s school health forms including the Universal Health Certificate and Oral Health Assessment Form ALL STUDENTS SHOULD RECEIVE AN ANNUAL FLU VACCINE 1 Gingival Inflammation Y N 2 Plaque and or Calculus Y N 3 Abnormal Gingival Attachments Y N 4 Malocclusion Y N 5 Other e g cleft lip palate Preventive services completed Yes No Part 4 Final Evaluation Required Dental Provider Signatures Part 5 Required Parent Guardian Signatures
Printable Dental Forms For School In Dc
Printable Dental Forms For School In Dc
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Printable Dental Examination Form
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Printable Dental Consent Forms Printable Forms Free Online
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The District of Columbia Department of Health DC Health sponsors preventive dental services at your child s school through the DC School Based Oral Health Program SBOHP Through this program licensed dentists and their staff provide exams checkups and x rays to students who have not seen a dentist in six 6 months School Health Requirements Health physicals and oral health assessments are required annually Students also must be current with their immunizations to attend school
At the start of each school year DC Health s Oral Health Program OHP staff will send each school a School Based Oral Health Program Service Request Form To participate in the SBOHP each school must submit to OHP the completed form including the names and contact information of a point of contact POC within the school s administration Physical Health Requirement All participating children must comply with physical health standards set forth by the DC Department of Health Prior to the provision of services under public pre K parents must submit a copy of signed health certificate by the child s pediatrician to the program they are seeking enrollment DC Physical Health
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Universal Health Certificate Use this form to report your child s physical health to their school child care facility This is required by DC Official Code 38 602 Have a licensed medical professional complete part 2 4 Access health insurance programs at https dchealthlink Oral Health Assessment Form 94 4 KB pdf This form replaces the Dental Appraisal Form used for entry into DC Schools all Head Start programs Childcare providers camps after school programs sports or athletic participation or any other District of Columbia activity requiring a physical examination The form was developed by the DC
1200 First Street NE Washington DC 20002 T 202 442 5885 F 202 442 5026 dcps dc g ov School Year 2022 2023 Enrollment Packet Welcome to the 2022 2023 school year with DC Public Schools Please complete this enrollment packet for the upcoming school year 2022 2023 Step by step instructions are included below Complete the full UPCOMING School Year SY23 24 DCPS Enrollment Packet electronically Amharic Chinese English Espa ol Fran ais SY23 24 OSSE DC Home Visit Form For SY23 24 enrollment season all home visits must be completed in person only Amharic Chinese English Espa ol
Top 8 School Dental Form Templates Free To Download In PDF Format
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Printable Dental Examination 2011 2024 Form Fill Out And Sign Printable PDF Template SignNow
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This Form replaces the previous version of the District of Columbia Oral Health Dental Provider Assessment Form used for entry into DC Schools all Head Start programs Childcare providers camps all school programs sports or athletic participation or any other District of Columbia activity requiring a physical examination
https://enrolldcps.dc.gov/sites/dcpsenrollment/files/page_content/attachments/DC%20Health%20Forms%20Combined.pdf
All students attending school in DC must present proof of appropriately spaced immunizations by the first day of school Please complete and return your student s school health forms including the Universal Health Certificate and Oral Health Assessment Form ALL STUDENTS SHOULD RECEIVE AN ANNUAL FLU VACCINE
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Printable Dental Examination Form
Printable Dental Examination Form
Printable Dental Forms For School In Dc - PROOF OF SCHOOL DENTAL EXAMINATION FORM To be completed by the parent please print To be completed by dentist Oral Health Status check all that apply Yes No Dental Sealants Present
