Oral health assessment 2026

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  1. Click ‘Get Form’ to open the Oral Health Assessment Form in the editor.
  2. Begin with Section 1, where you will enter your child's information. Fill in their first name, last name, middle initial, birth date, address, city, ZIP code, school name, teacher's name, grade, sex, and race/ethnicity. Ensure all fields are completed accurately.
  3. Proceed to Section 2 for Oral Health Data Collection. This section must be filled out by a licensed dental professional. They will assess your child’s dental health and mark the appropriate boxes regarding visible decay and treatment urgency.
  4. If applicable, complete Section 3 if you are requesting a waiver for the oral health assessment requirement. Check the box that best describes your reason and provide any additional details needed.
  5. Finally, ensure that all signatures are obtained where required and submit the form back to the school by May 31.

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