Dental health certificate sample 2025

1. Click ‘Get Form’ to open the dental health certificate sample in the editor.
2. Begin with Section 1, where you will enter your child's name, birth date, school, and grade. Ensure all information is accurate and printed clearly.
3. Indicate whether this is your child's first visit to a dentist by selecting 'Yes' or 'No'.
4. Answer the question regarding any mouth problems that may affect your child's ability to chew or focus on school activities.
5. Sign and date the form at the bottom of Section 1 to consent for your child’s oral health assessment.
6. Take the completed form to your dentist for them to fill out Section 2, which includes their evaluation of your child's dental health condition.
7. Ensure the dentist checks the appropriate box regarding your child’s fitness for school attendance and provides their signature.

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