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Click ‘Get Form’ to open the Kentucky Dental Screening/Examination Form in the editor.
Begin by entering the student's name, birth date, and gender. Ensure accuracy as this information is crucial for school records.
Select the type of test being conducted by checking either 'Screening' or 'Exam'. This helps clarify the nature of the dental assessment.
Fill in the parent or guardian's name, relationship to the student, address, and phone number. This contact information is essential for follow-up.
Complete the school name and screener's details including their name, address, and phone number. Also, indicate the date of enrollment and screening date.
Mark whether there are untreated or treated cavities by checking the appropriate boxes. This section provides vital health insights.
Indicate any patterns of early childhood cavities and treatment urgency by selecting from the provided options.
Finally, add comments if necessary, especially if urgent care is needed. Ensure that all required fields are completed before saving your form.
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