Illinois Dental Exam Form

School Dental Exam for Illinois Exam Requirements You Need To Know

Illinois Dental Exam Form. Web eye examination must be performed by a licensed optometrist within one year prior to the first day of school and submitted before october 15 of the school year dental. Code 665) states all children in kindergarten, second,.

School Dental Exam for Illinois Exam Requirements You Need To Know
School Dental Exam for Illinois Exam Requirements You Need To Know

Proof of school dental examination form. Web this form must be submitted with your application. To be completed by the parent (please print): Web proof of school dental examination form. Illinois law (child health examination code, 77 ill. Web eye examination must be performed by a licensed optometrist within one year prior to the first day of school and submitted before october 15 of the school year dental. Illinois department of public health, division of oral. Please reference the illinois department of public health website to ensure you are using the current form. Oral health status (check all that apply) £ yes. Web illinois department of public health proof of school dental examination form to be completed by the parent (please print):

The current forms are linked. Illinois department of public health, division of oral. Code 665) states all children in kindergarten and the. Last first middle birth date: Web proof of school dental examination form. Web eye examination must be performed by a licensed optometrist within one year prior to the first day of school and submitted before october 15 of the school year dental. Please reference the illinois department of public health website to ensure you are using the current form. Web dental examination waiver form. If you wish to pursue a specialty or other advanced clinical education program in an approved. To be completed by the parent (please print): Web state of illinois illinois department of public health tobecompletedbydentist: