Foster Care Manual: Client Dental Examination
This form is filled out by the dentist. An examination is required at least every nine months.Client Dental Form
Dear Dentist:
Our regulations require that we provide proof that our client has been to the dentist at least every 9 months (if under age 18) and document the procedures performed during the visit. Kindly complete this form.
Client’s name:______________________________ Date:__________
Procedures performed:________________________
____________________________________________
____________________________________________
Doctor's signature:_____________________________
Printed name:_________________________________
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