Get Dc Oral Health Assessment Form

Filling out the Dc Oral Health Assessment Form online is a straightforward process that ensures your child's oral health information is accurately documented. This guide will walk you through each section of the form, providing clear instructions to facilitate a smooth completion experience.

Follow the steps to accurately complete the form online.

1. Press the ‘Get Form’ button to retrieve the Dc Oral Health Assessment Form and open it in the online editor.
2. Begin with Part 1, where you will input the child's personal information. Fill out each field, including the child's last name, first and middle name, date of birth, and your relationship as the parent or guardian.
3. Provide your and your partner's contact information. This includes names, telephone numbers, and work addresses as applicable. Ensure to indicate the ward of your home address and the child's school or childcare facility.
4. Complete the section regarding the dental provider. If your child is uninsured or does not have a dental provider, please note this by writing “None” in the appropriate fields for dental provider and type of dental insurance.
5. In Part 2, the parent or guardian must grant permission for the dental provider to share oral health information. Sign, print your name, and date this section to validate the form.
6. Move to the Dental Provider Instructions, where the dentist will fill out Part 3. The dentist should indicate whether the child has been examined and if treatment is required, signing and dating this section.
7. For Part 4, the dentist will evaluate the child’s treatment needs. They should complete the necessary findings and finalize the form with their signature, printed name, and contact information.
8. Once all sections are completed, review the form for accuracy. You can then save your changes, download a copy, print it, or share it as needed.

Get started now to complete your Dc Oral Health Assessment Form online efficiently.