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Kentucky Dental Screening/Examination Form for School Entry Kentucky law, KRS 156.160(i), requires proof of a dental screening or examination by a dentist, dental hygienist, physician, registered.

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How to fill out the Dental Examination Forms Printable online

Completing the Dental Examination Forms Printable is essential for ensuring that your child meets the necessary health requirements for school entry. This guide provides clear, step-by-step instructions to assist you in filling out the form accurately and efficiently.

Follow the steps to complete the Dental Examination Form online

  1. Click ‘Get Form’ button to access the Dental Examination Forms Printable and open it for editing.
  2. Begin by entering the student's name, which includes the last name, first name, and middle name. This information is crucial for identifying the student.
  3. Input the birth date of the student using the designated fields for month, day, and year.
  4. Select the test type by checking the appropriate box for either ‘Screening’ or ‘Exam’.
  5. Indicate the gender of the student by ticking the corresponding checkbox for either male or female.
  6. Fill in the parent's or guardian's name and their relationship to the student. This helps notate who is responsible for the child's health information.
  7. Provide the address, including city and phone number of the parent or guardian to maintain communication regarding the student's health needs.
  8. Enter the name of the school where the student is enrolled.
  9. Document the screener's name and address. This is vital for verifying who conducted the dental examination.
  10. Record the date of enrollment and the screening date in the specified fields.
  11. Ensure the screener signs and adds their phone number for authenticity and record-keeping.
  12. Indicate any untreated or treated decay by checking the corresponding boxes.
  13. Select the pattern of early childhood cavities and treatment urgency as applicable.
  14. Identify the professional affiliation by checking the appropriate box, confirming the screener's qualifications.
  15. If applicable, fill in any comments required regarding treatment urgency or any other remarks, ensuring to note if an urgent care referral is needed.
  16. Once all fields have been completed, you can save changes, download, print, or share the form as necessary.

Complete the Dental Examination Forms Printable online today to ensure a smooth school enrollment process.

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occlusal surface: A surface of a posterior tooth or occlusion rim that is intended to make contact with an opposing occlusal surface. ( Glossary of Prosthodontic Terms; ©2019 Academy of Prosthodontics). occlusion: Any contact between biting or chewing surfaces of maxillary (upper) and mandibular (lower) teeth.

Dental Health Program. 28 PA Code (regulations) 23.3(a)* states "Dental examinations shall be required on original entry into school and in grades three and seven." Schools have two options for fulfilling this requirement, a mandated dental program or a dental hygiene services program.

Comprehensive Oral Evaluation, new or established patient: This code applies when a general dentist and/or dental specialist examines the patient.

A type called a full-mouth series may be taken once every few years to check your overall oral health. Another type, called bitewing x-rays, may be used more often to check for cavities or other tooth problems.

Home Care/ Oral Hygiene Instructions (OHI)

A dental hygienist may use the words “registered dental hygienist” or the letters “R. D. H.” after the person's name.

Department of Defense Active Duty/Reserve/Guard/Civilian Forces Dental Examination Form (DD Form 2813) This form is used to used to assist active duty and National Guard and Reserve members in documenting dental health for worldwide duty. It should be downloaded and given to the dental provider to complete.

The DDS (Doctor of Dental Surgery) and DMD (Doctor of Medicine in Dentistry or Doctor of Dental Medicine) are the same degrees. Dentists who have a DMD or DDS have the same education. It's up to the universities to determine what degree is awarded, but both degrees use the same curriculum requirements.

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