Get Dental Screening Form

Completing the Dental Screening Form online is a crucial step in maintaining oral health for individuals. This guide provides clear, step-by-step instructions to help you accurately fill out this important document.

Follow the steps to complete the form accurately.

1. Click the ‘Get Form’ button to access the Dental Screening Form and open it in your preferred online editor.
2. Begin by filling out the **Screening Coordinator section**. Enter the coordinator's name, address, city, state, zip code, and phone number accurately.
3. Proceed to the **School Oral Health Screening Form** section. Fill in the screener’s name, the date of the screening, the school name, city, and county.
4. In the **Personal Information section**, you’ll need to provide the student's name or ID number, grade, and age for record-keeping.
5. Complete the **Race/Ethnicity information**. Select the appropriate options to describe the individual’s race and ethnicity from the provided categories.
6. Address the **Dental Health Questions**. Indicate if untreated caries are present, whether sealants have been applied, and the urgency of treatment required.
7. Finalize the form by reviewing all entries for accuracy. Once satisfied, you have options to save changes, download, print, or share the form electronically.

Take a moment to complete the Dental Screening Form online and ensure your or your child's oral health needs are documented properly.