Forms & Information
Visit Morning Sun's website to get the forms and information you will need for your student. From dental screening to our volunteer application.
Iowa School Dental Screening Form
Dental Screening Flyer and Form
Get an official Certificate of Dental Screening form from your school nurse or local I-Smile™ Coordinator. Make an appointment for your child to get a dental screening. Return the completed form to the school. Need help getting a dental screening? Your local I-Smile™ Coordinator can assist you! Call 1-866-528-4020 for contact information or ...
Iowa Department of Public Health School Dental Screening …
School dental screening of all high schools in Iowa that have participated. A state summary.
Dental Screening | Adair-Casey & Guthrie Center Junior High
Please select the needed form from the list on the left. All children newly enrolling in an Iowa elementary or high school are required to have a dental screening. This requirement was passed by the 2007 legislature and became effective July 1, 2008. The purpose of the dental screening requirement is to improve the oral health of Iowa's children.
CERTIFICATE OF DENTAL SCREENING
CERTIFICATE OF DENTAL SCREENING ... RETURN COMPLETED FORM TO CHILD'S SCHOOL. Rev. 8/26/2022 . Student Information(please print) Student Last Name: ... A designee of the local board of health or Iowa Department of Health and Human Services may review this certificate for survey purposes.
Schoolage Child Health Form
School and Learning - My child Is doing well at school. Is having difficulty in some classes. Does not want to go to school. Frequently misses or is late for school. I am concerned about how my child is doing in school. Allergy - My child has allergies (Medicine, food, dust, mold, pollen, insects, animals, etc.). List allergies:
Iowa Department of Public Health CERTIFICATE OF …
Get an official Certificate of Dental Screening form from your school nurse or local I-Smile ™ Coordinator. Make an appointment for your child to get a dental screening.
Proof of School Dental Examination Form
A licensed dentist must complete the examination, sign, and date this Proof of School Dental Examination Form. If you are unable to get this required examination for your child, fill out a separate Dental Examination Waiver Form.
Vision/Dental Screening & Immunization Requirements
Have a dental hygienist fill out the dental screening form and return the form to your child's school. Sioux City Community Schools 627 4th Street Sioux City, IA 51101 Phone: 712-279-6667 Non-Discrimination Statement
Dental and Oral Health | Health & Human Services
We also promote the importance of community water fluoridation, work on coalitions, oversee the state's school dental screening requirement, participate in the Cavity Free Iowa Initiative, create materials to help people understand the importance of oral health, use data to report on the oral health of people living in Iowa, and help the Iowa ...
Dental Screening
Dental Screening. Iowa law requires that all students entering kindergarten and 9th grade have a dental screening. The purpose of the dental screening requirement is to …
Health Services
Vision Screening Form; Dental Screening Certificate; 3rd Grade. Vision Screening Form; 7th Grade. Certificate of Immunization completed by a healthcare provider to include boosters of the Tdap and Meningitis vaccines. Iowa law requires boosters before the first day of school. 9th Grade. Dental Screening Certificate; 12th Grade
Downloadable Forms
The documents below are available to download, view and print in Adobe Acrobat format (PDF). Asthma or Airway Constricting Medication Self-Administration Consent (PDF) Authorization for Exchange of Confidential Information (PDF) Certificate of Dental Screening (PDF) Certificate of Immunization (PDF) ...
Iowa Department of Public Health School Dental …
School Dental Screening Requirement - State Compliance* 2014 - 2015 School Year: ... in Iowa* Schools that Submitted ... • 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 Certificate of Dental …
I Street Name of I I I I I lo Iowa Department of Public Health CERTIFICATE OF DENTAL SCREENING This certificate is not valid unless all fields are complete.
School Screenings and Immunizations
In addition, fluoride varnish is available to Pre-K students with a Dental Program Consent Form signed by the parent/guardian. Iowa law requires that any student entering kindergarten and ninth grade provide a valid Iowa Department of Public Health Certificate of Dental. (This form is available from your school nurse, dentist, or on the CRCSD ...
Immunizations and Health Screenings
The results of this screening need to be submitted to your school nurse on the designated dental screening form which can be located on the Iowa Department of Public Health's website. One may also locate a dental screen exemption on the same site.
Oral Health Data & Reports | Health & Human Services
The following reports are the results of audits of school dental screening certificates for Iowa children entering kindergarten and ninth grades. Information reported includes compliance with the requirement and numbers and rates of children with dental treatment needs. 2022-2023 School Screening Audit Report; 2021-2022 School …
I-Smile | Health & Human Services
I-Smile connects children and pregnant women living in Iowa with dental, medical, and community resources for a lifetime of health and wellness. I-Smile is the oral health component of the statewide Maternal Health and Child and Adolescent Health programs, managed by Iowa HHS.
Iowa Department of Public Health
Iowa Department of Public Health CERTIFICATE OF DENTAL SCREENING This certificate is not valid unless all fields are complete. RETURN COMPLETED FORM TO CHILD'S SCHOOL.
Back to School? Don't forget these three …
Children entering kindergarten and ninth grade in Iowa schools are required to have a dental screening. The Iowa Department of Public Health Certificate of Dental Screening form must be completed …
State Laws on Dental "Screening" for School-Aged …
State Laws on Dental "Screening" for School-Aged Children ... the dental screening), notification forms (used to communicate the results of the screening to ... IL, IA, NY, and PA) selected to represent a mix of old and new laws as …
Iowa Department of Public Health CERTIFICATE OF …
Iowa Department of Public Health CERTIFICATE OF DENTAL SCREENING. This certificate is not valid unless all fields are complete. When complete, return to child's …
School Dental Screening Requirement | Health & Human …
The Iowa HHS 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. A …
Dental Screening | Guthrie Center Elementary School
Please select the needed information or form from the list on the left. All children newly enrolling in an Iowa elementary or high school are required to have a dental screening.
Health Forms
A kindergarten student enrolling for the first time in school in the district shall submit an Iowa Department of Public Health Certificate of Immunization from a licensed physician. All Kindergarten students entering school are required to have a …
Student Health Requirements for Schools
A licensed dentist, dental hygienist, physician, physician assistant, RN or ARNP can complete the screening. The screening must use the HHS Certificate of Dental Screening.
Health Forms
Vision Screening- Vision Form (Required for Kindergarten and 3rd grade entry.) Physical Exam Form Dental Screening Form (Required for Kindergarten and 9th grade entry.) Diet Modification Form
Screenings | Davenport Community Schools
Dental Screening. Dental screening is required for all kindergarten and ninth- grade students. Parents or guardians of kindergarten students will be required to provide evidence of a dental screening on an Iowa Department …
Iowa Department of Public Health Certificate of Dental …
A screening does not replace an exam by a dentist. Children should have a complete examination by a dentist at least once a year. RETURN COMPLETED FORM TO …
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