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Dental Program Forms

"No Dental Care Required Notification" Form


What is the No Dental Care Required Notification Form?

  • The purpose of this form is to let you know that your child’s mouth appeared healthy on the date of their dental screening.
  • A dental screening does not replace regular dental visits. Take your child to a dental professional regularly.

What should I do with this form?

  • No action is required with this form.

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Revised: April 25, 2019


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