Get Oral Health Assessment Form

Filling out the Oral Health Assessment Form online is a simple process that ensures your child's oral health needs are addressed. This guide will walk you through each section of the form step by step, making the experience straightforward and efficient.

Follow the steps to complete the Oral Health Assessment Form effectively.

1. Click ‘Get Form’ button to access the Oral Health Assessment Form and open it for editing.
2. Begin by entering the child's information in Section 1. This section should be filled out by the parent or guardian and requires details such as the child's first name, last name, middle initial, birth date, address, city, ZIP code, school name, teacher, grade, sex, and race/ethnicity. Ensure that all fields are completed accurately.
3. If your child has had a dental check-up in the last 12 months, direct a California licensed dental professional to complete Section 2. This section involves the dental professional recording details about the oral health assessment, including the date, visible decay, treatment urgency, and must be signed with the CA license number.
4. If your child is unable to attend a dental check-up, Section 3 must be filled out by the parent or guardian. Indicate the reason for exemption, such as difficulties with finding a dental office, financial concerns, or personal preference. Also, provide any additional optional information if necessary.
5. After reviewing all entries for accuracy, proceed to save changes. You may then choose to download, print, or share the completed form as required prior to returning it to your child's school no later than May 31 of their first school year.

Complete your documents online now to ensure your child's oral health assessment is submitted on time.