Illinois Dental Exam Form
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To Be Completed By The Parent (Please Print):
Web proof of school dental examination form. Web the examination must have taken place within 18 months prior to may 15 of the school year. Web proof of school dental examination form. If you wish to pursue a specialty or other advanced clinical education program in an approved.
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Last first middle birth date: To be completed by dentist: The current forms are linked. Code 665) states all children in kindergarten, second,.