State Of Illinois Proof Of Dental Examination Form
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601 4/2007 proof illinois of school department dental of examination public health form to be completed by the parent (please print): Oral health status (check all that apply) £ yes. To be completed by dentist: My child is enrolled in the free and reduced lunch program. To be completed by dentist:.
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Web proof of school dental examination form illinois law (child health examination code, 77 ill. To be completed by dentist:. Oral health status (check all that apply) £ yes. Illinois law (child health examination code, 77 ill. 601 4/2007 proof illinois of school department dental of examination public health form to be completed by the parent (please print):
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If you are unable to get this required examination for your. My child is enrolled in the free and reduced lunch program. Code 665) states all children in kindergarten and the second, sixth and ninth. Web the state of illinois requires that all students in kindergarten, second, sixth and ninth grades have an oral health examination performed by a licensed dentist.
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