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Nys dental form for school 2026

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  1. Click ‘Get Form’ to open the NYS Dental Health Certificate in our editor.
  2. In Section 1, enter your child's name, birth date, and school details. Ensure you indicate if this is their first dental visit and any observed issues affecting their ability to chew or focus.
  3. Sign and date the form at the bottom of Section 1 to consent to the dental assessment.
  4. Take the form to your dentist for completion of Section 2. The dentist will assess your child's dental health and provide necessary recommendations.
  5. Review any optional sections regarding oral health status and treatment needs before returning the completed form to your school’s medical director or nurse.

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DIana Rich

Attached is a form for your use. Please complete Section 1 and take the form to your registered dentist or registered dental hygienist for an assessment.

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dental-health-certificate.docx

Please complete Section 1 and take the form to your childs dentist/dental hygienist to complete Section 2. Return the completed form to your childs school.

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