State Of Illinois Dental Form

State Of Illinois Dental Form - Illinois law Child Health Examination Code 77 Ill Adm Code 665 states all children in kindergarten and the second sixth and ninth grades of any public private or parochial school shall have a dental examination The examination must have taken place within 18 months prior to May 15 of the school year

FOR MAKING APPLICATION UNDER PROVISIONS OF THE ILLINOIS DENTAL PRACTICE ACT RESTRICTED FACULTY LICENSE TEMPORARY DENTAL TRAINING LICENSE TEMPORARY PERMIT FOR VISITING DENTIST FOR FREE DENTAL CARE INSTRUCTION SHEET Additional application forms can be downloaded from the IDFPR Web site at idfpr illinois gov

State Of Illinois Dental Form

State Of Illinois Dental Form

• All Illinois children in kindergarten, Grade 2, Grade 6, and Grade 9 are required to have an oral health examination. This is required for all public, private, and parochial schools. Examinations must be performed by a licensed dentist, and he/she must sign the Proof of School Dental Examination form.

Illinois law Child Health Examination Code 77 Ill Adm Code 665 states all children in kindergarten second sixth and ninth grades of any public private or parochial school shall have a dental examination The examination must have taken place within 18 months prior to May 15 of the school year

Span Class Result Type

Since July 1 2021 employees have the option to enroll in Dental Only coverage However if you enroll in health coverage and choose dental coverage dependents must mirror the coverage of the member Members have the option to participate in the Quality Care Dental Plan QCDP or they may elect not to participate

Illinois Board Of Dentistry Licensing Renewal Requirements For IL Heartbeat ai

State of Illinois Illinois Department of Public Health PROOF OF SCHOOL DENTAL EXAMINATION FORM To be completed by the parent please print Student s Name Last First Middle Birth Date To be completed by dentist Oral Health Status check all that apply No Dental Sealants Present

Span Class Result Type

Illinois law Child Health Examination Code 77 Ill Adm Code 665 states all children in kindergarten and the second sixth and ninth grades of any public private or parochial school shall have a dental examination The examination must have taken place within 18 months prior to May 15 of the school year

Illinois State Dental Society Foundation Monthly Byte January 2019

Rev 601 4 2007 PROOF Illinois OF SCHOOL Department DENTAL of EXAMINATION Public Health FORM To be completed by the parent please print Student s Name Last First Middle Birth Date To be completed by dentist Oral Health Status check all that apply No Dental Sealants Present

PROOF OF SCHOOL DENTAL EXAMINATION FORM. Illinois law (Child Health Examination Code, 77 Ill. Adm. Code 665) states all children in kindergarten and the second, sixth and ninth grades of any public, private or parochial school shall have a dental examination. The examination must have taken place within 18 months prior to May 15 of the school year.

Span Class Result Type

Illinois Department of Public Health Division of Oral Health 217 785 4899 TTY hearing impaired use only 800 547 0466 dph illinois gov IOCI 0600 10 Printed by Authority of the State of Illinois

State Of Illinois Dental Form

Rev 601 4 2007 PROOF Illinois OF SCHOOL Department DENTAL of EXAMINATION Public Health FORM To be completed by the parent please print Student s Name Last First Middle Birth Date To be completed by dentist Oral Health Status check all that apply No Dental Sealants Present

FOR MAKING APPLICATION UNDER PROVISIONS OF THE ILLINOIS DENTAL PRACTICE ACT RESTRICTED FACULTY LICENSE TEMPORARY DENTAL TRAINING LICENSE TEMPORARY PERMIT FOR VISITING DENTIST FOR FREE DENTAL CARE INSTRUCTION SHEET Additional application forms can be downloaded from the IDFPR Web site at idfpr illinois gov

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