Varnish regina 2026

1. Click ‘Get Form’ to open the varnish regina document in the editor.
2. Begin by entering your child's name and date of birth in the designated fields. Ensure accuracy as this information is crucial for identification.
3. Fill in the Saskatchewan Health Card Number and select your child's gender by checking the appropriate box.
4. Provide your address, including city/town and postal code, followed by your telephone numbers (home, work, cell) and email address.
5. Answer the allergy questions regarding colophony and latex by selecting 'Yes', 'No', or 'Don’t Know'.
6. Indicate whether your child has dental insurance and if they have seen a dentist in the past year.
7. Select how you learned about the fluoride varnish program from the provided options.
8. Finally, print your name, sign as a parent/legal guardian, and date the consent form to complete it.

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