Dental Examination Form

NY State law permits schools to request an oral health assessment at the same time a health examination is required.   Your child may have a dental check up during the school year to assess their fitness to attend school.  See form above. Please complete with your dentist.  Return completed form to your child's school health office.  

Dental Form.pdf, 488.45 KB; (Last Modified on November 1, 2019)