Get T07003, English, Arial Font

Filling out the T07003 Oral Health Assessment Form is essential for your child's dental health requirements as mandated by California law. This guide will help you navigate the form efficiently and accurately.

Follow the steps to complete the T07003 form online.

1. Click ‘Get Form’ button to obtain the form and open it in the editor.
2. Enter the child's information in Section 1. This section should be filled out by a parent or guardian. You will need to provide the child's first name, last name, middle initial, birth date, address, apartment number, city, ZIP code, school name, teacher's name, grade, sex, and race/ethnicity. Ensure that all required fields are completed accurately.
3. If applicable, provide the details in Section 2, which must be filled out by a California licensed dental professional. They will document the oral health assessment date, caries experience, visible decay present, and treatment urgency. The dental professional must sign this section and include their California license number.
4. In Section 3, if you are asking to be excused from the dental check-up requirement, indicate the reason by checking the appropriate box. You may also add any optional reasons in the provided space. Finally, ensure that you sign and date this section.
5. Once all sections are completed, review the form for any errors or omissions. You can then save your changes, download the form, print it, or share it as needed before submission.

Complete your forms online today to ensure your child's dental health assessment is submitted on time.