Get Ky Oh-12 2010-2026

The KY OH-12 form is an essential document required for proof of dental screening or examination for children entering public school in Kentucky. This guide will walk you through the process of filling out this form online with clear, supportive instructions.

Follow the steps to accurately complete the KY OH-12 form

1. Click 'Get Form' button to access the KY OH-12 document and open it in your preferred editor. This action allows you to obtain the necessary form for your child's dental screening.
2. Begin by entering the student's name in the designated fields. Ensure to include the last name, first name, and middle name for accurate identification.
3. Fill in the birth date in the format provided. This information is crucial for confirming the child's eligibility for school enrollment.
4. Indicate the student's gender by selecting the appropriate checkbox for either male or female.
5. Provide the name of the parent or guardian, along with their relationship to the child. This helps schools to identify the responsible adult.
6. Input the complete address, including street, city, and phone number, to ensure the school can easily contact you.
7. Enter the name of the school your child will attend and the date of enrollment. This assists in linking the dental screening to the specific school.
8. Record the screener's name and address. If a dental professional conducted the screening, their information must be accurate and complete.
9. Select the date on which the screening was performed. This information will validate the timeliness of the screening.
10. Indicate the presence of untreated decay by checking the appropriate box. Do the same for treated decay, ensuring that the form reflects the child's dental health accurately.
11. For the pattern of early childhood cavities, select the relevant option. This helps the school assess the child's dental needs.
12. Specify the treatment urgency by checking one of the provided comments. This feedback is essential for future dental care considerations.
13. Have the screener sign the form to certify the details provided. A professional affiliation must also be indicated by checking the relevant box.
14. Add any additional comments if necessary, especially if treatment urgency has been indicated. This information is vital for addressing the child's dental care needs.
15. Once all fields are completed, save your changes. You may also choose to download, print, or share the form as required.

Complete the KY OH-12 online today to ensure your child meets the school's dental health requirements.