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Caries Risk Assessment Form - Peninsula Dental Social Enterprise 2026

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  1. Click ‘Get Form’ to open the Caries Risk Assessment Form in our editor.
  2. Begin by entering the patient's name, postcode, number, and date of birth in the designated fields at the top of the form.
  3. Fill in the date of caries assessment and age at the time of assessment. Ensure accuracy for effective evaluation.
  4. In the Oral Hygiene Assessment section, answer questions regarding brushing habits and supervision. Select 'Yes', 'No', or 'Occasionally' as applicable.
  5. Proceed to the Diet Analysis section. Identify sugar intake frequency and timing, ensuring to check for any omissions or inclusions in meals.
  6. Complete the Proposed Treatment Plan by detailing any recommendations based on your findings from previous sections.

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