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Oral Health Assessment Form (Spanish) - Health Services & School ... - lakeport k12 ca 2026
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- Click ‘Get Form’ to open it in the editor.
- Begin with Sección 1, where you will provide your child's information. Fill in the first name, last name, middle initial, date of birth, address, city, zip code, school name, teacher's name, parent/guardian's name, grade, gender, and ethnicity.
- Proceed to Sección 2. This section must be completed by a licensed dental professional. Ensure they fill in the assessment date and mark whether visible decay or fillings are present.
- In Sección 3, if applicable, indicate the reason for exemption from the dental check-up requirement. Select the appropriate box and provide any additional reasons if necessary.
- Finally, ensure that all signatures are obtained where required before submitting the form back to the school by May 31st.
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| Versions | Form popularity | Fillable & printable |
|---|---|---|
| 2007 | 4.8 Satisfied (45 Votes) |
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