Get School Dental Screening Form

Completing the School Dental Screening Form online is a straightforward process that ensures your child meets Kentucky's educational requirements for dental health. Follow this guide to navigate each section of the form effectively and efficiently.

Follow the steps to complete the School Dental Screening Form online.

1. Press the ‘Get Form’ button to access the form and open it in your preferred editor.
2. Fill in the student's name, including their last, first, and middle names.
3. Enter the birth date of the student in the specified format.
4. Select the appropriate test type by checking either the ‘Screening’ or ‘Exam’ option.
5. Indicate the student's gender by checking the correct box, either Male or Female.
6. Provide the name of the parent or guardian in the designated field.
7. Complete the screener's name and address, making sure to include the city and phone number.
8. Identify the school where the student is enrolled.
9. Fill in the date of the exam or screening.
10. The screener must sign and print their name in the specified section.
11. Choose the screener's professional affiliation by checking the relevant box.
12. Indicate the presence of untreated and treated decay by checking the appropriate boxes.
13. Select the pattern of early childhood cavities, if applicable, by checking the appropriate box.
14. Assess the treatment urgency and check the relevant option, providing comments if necessary.
15. Once all fields are correctly filled out, you may save, download, print, or share the completed form.

Complete the School Dental Screening Form online today to ensure your child's health requirements are met promptly.