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Get PriceRequired before first day of school Kindergarten Need up to date Iowa Certificate of Immunizations or Iowa Immunization Exemption Certificate Copy of current Physical; Iowa Dental Screening Certificate or Iowa Dental Exemption Certificate Blood lead Screen; Vision Exam no later than 6 months after the start of the school year
Get PriceAthletic Participation Required Forms PDF Certificate of Dental Screening PDF Request for Medication to be Given at School PDF Diet Modification Request PDF Authorization Asthma or Airway Constricting Medication Self Administration Consent Form PDF 2300 Chaney Road Dubuque Iowa 52001
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Get PriceA screening for ninth grade may be performed by a licensed dentist or dental hygienist only Screenings performed by out of state providers are allowed The Iowa Department of Public Health Certificate of Dental Screening is the only acceptable form A screening for kindergarten is valid from age 3 years to four months after enrollment date A
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Get PriceVision Screening Please contact the School Nurse for a Vision Form Required for Kindergarten and 3rd grade entry Dental Screening Form Required for Kindergarten and 9th grade entry entry Physical Exam Form Consent for Administration of Medication at School Form Diet Modification Form North Iowa Schools Contact Us 641 562 2525
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Get PriceCERTIFICATE OF DENTAL SCREENING RETURN COMPLETED FORM TO CHILD S SCHOOL Iowa Department of Public Health RETURN COMPLETED FORM TO CHILD S SCHOOL ¹ A visible cavity or hole in a tooth with brown or black coloration or a retained root ² White spot lesion
Get PriceElementary or High School Grade Level Gender Male Female Date of Dental Screening Treatment Needs check ONE only based on screening results prior to treatment services provided No Obvious Problems the child s hard and soft tissues appear to be visually healthy and there
Get PriceSchool Dental Screenings All Iowa children enrolling in Kindergarten or 9th grade are required to have a dental screening This requirement was passed by the 2024 legislature and became effective July 1 2024 The purpose of the dental screening requirement is to improve the oral health of Iowa s children
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Get PriceOnly the official Iowa form will be accepted I Smile at School I Smile Coordinators work with schools throughout the state to help implement the requirement They can assist families to get their children screened and to find follow up care as needed For more information call the I Smile Coordinator at 319 292 2247 Preschools
Get Pricerequire evidence of a dental screening prior to elementary school and high school Iowa A third state New York approved a requirement in 2024 that schools request a dental health certificate upon a student s entrance into school or upon entry into K 2nd 4th 7th and 10th grades In April 2024 Kentucky s
Get PriceThe health professional doing the dental screen must complete the dental certificate of dental screening Please return the completed certificate to your child s school office If families do not have dental insurance coverage or cannot pay for dental care parents should contact the Iowa Department of Public Health at https //idph iowa gov
Get PriceParent Information & Forms Parent Information & Forms NOTE For translations and other alternative formats click on the Alternative Formats Download button next to the form name given below Health Forms Asthma Action Plan Dental Screening Dental Sealant Program Diet Modification Request Form Food Allergies Head Lice Immunizations
Get PriceDental Screening A dental screening should be done at your child s next physical examination or at a dentist s office If you don t have a dentist or insurance contact the I Smiles Program at 319 291 2413 to learn more about free dental screenings Dental Screening Form pdf Physical Exam and Health History
Get PriceA screening for ninth grade may be performed by a licensed dentist or dental hygienist only Screenings performed by out of state providers are allowed The Iowa Department of Public Health Certificate of Dental Screening is the only acceptable form A screening for kindergarten is valid from age three years to four months after enrollment date
Get PriceThe Iowa Department of Public Health Certificate of Dental Screening is the only acceptable form Adair Casey Elementary School 3384 Indigo Ave Adair IA 50002 Phone 641 746 2242 or 641 742 3310 Bus Garage 641 746 3335 Schools Adair Casey & Guthrie Center School District ;
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Get PriceIowa Dental School Exams in Muscatine IA skip to Main Content Make an appointment today Call 563 607 What if my child has dental needs After a dental screening a child may need a more thorough examination at our office please call us at 563 607 5979 and we will send the completed form to you Back to School Screenings Please
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Get PriceThe new Certificate of Dental Screening form is available for dental offices Older versions of certificates will be accepted if the required fields are completed Contact your I Smile Coordinator with any questions or concerns
Get PriceAll children newly enrolling in an Iowa elementary or high school are required to have a dental screening This requirement was passed by the 2024 legislature and became effective July 1 2024 The purpose of the dental screening requirement is to improve the oral health of Iowa s children Dental screenings help with early detection and treatment of dental disease; promote the importance of
Get Price• Number of students who submitted a valid Certificate of Dental Screening form • Number of students with No Obvious Problems soft and hard tissue appear healthy Iowa Department of Public Health School Dental Screening Audit Report School Summary 2024 2024 School Year County name District name School name Grade K/9 No Obvious
Get PriceFeatured Program Cavity Free Iowa is a new medical dental initiative focused on early oral health care and prevention of early childhood cavities Recognizing that young children often see their primary care provider on a routine basis for well child visits the goal of Cavity Free Iowa is to increase the number of children ages 0 35 months receiving preventive oral health services and dental
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