Get Bucks County Intermediate Unit

This guide will provide you with step-by-step instructions on how to fill out the Bucks County Intermediate Unit dental exam form for your child. By following these guidelines, you can ensure that you complete the form accurately and efficiently.

Follow the steps to successfully complete the dental exam form.

1. Click ‘Get Form’ button to obtain the dental exam form and open it for editing.
2. Enter your child's name in the designated field to identify the individual for whom the exam is being conducted.
3. Fill in the child's date of birth in the specified format to provide necessary age information.
4. Input the date of the dental exam to document when the assessment took place.
5. Select the sex of the child by choosing the appropriate option provided on the form.
6. In the oral conditions section, provide relevant notes or observations regarding any dental issues.
7. For the dental services section, check one or more options that apply, indicating necessary treatments such as cleaning or fluoride, and list any treatments needed or completed.
8. Enter the name and address of the dental provider who performed the examination in the relevant fields.
9. Include the phone number of the dental provider for follow-up communication if needed.
10. Provide your signature to confirm that the information filled out is accurate and complete.
11. Finally, input the date of signing to complete the form. Review all entries for accuracy.
12. You can now save changes, download, print, or share the completed form as needed.

Complete the dental exam form online today to ensure your child receives the necessary dental care.