WebState of Illinois Illinois Department of Public Health ... PROOF OF SCHOOL DENTAL EXAMINATION FORM Illinois law (Child Health Examination Code, 77 Ill. Adm. Code 665) … WebDENTAL EXAMS – All Illinois children in K, 2nd, and 6th grades are required to have an oral health exam by a licensed dentist prior to May 15th of the school year. If a student fails to present proof of exam, RLS may hold the student’s report card until written proof of exam is received. The State of Illinois Proof of School

Health & Wellness / Required Examinations & Forms - BSD2

WebState of Illinois Department of Public Health DENTAL EXAMINATION WAIVER FORM Illinois Department of Public Health, Division of Oral Health 217-785-4899 • TTY (hearing impaired use only) 800-547-0466 • www.idph.state.il.us December 2006 Please print: Student's Name: Last First Middle Birth Date: (Month/Day/Year) Address: Street City ZIP Code ... Web1. State of Illinois Dental Exam Form entitled, “Proof of School Dental Examination Form”, dated within 1 year prior to the first day of school. Prior to May 15 . Grade 6; 1. State of Illinois Physical Examination Form entitled, “Certificate of Child Health Examination" and dated within one year after the first day of school year. christian thibaudeau loaded stretch

Dental Examination Waiver Form - Illinois

WebFind commonly second health constructs for parents real caregivers, that may be vital for students in Chicago Public Schools, including dental, visions, both the OSHW Student Health Print Booklet. WebIllinois Department of Public Health PROOF OF SCHOOL DENTAL EXAMINATION FORM To be completed by the parent (please print): To be completed by dentist: Oral Health Status … Web• Each school must give notice of the dental examination requirement to the parents or guardians of the children at least 60 days prior to May 15 of each school year. • The Proof … geotech northern ireland