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Dental caries / Dental sealant / Caries / Outline of dentistry and oral health / Malocclusion / Minimal intervention dentistry / Dentistry for babies / Dentistry / Medicine / Health


State of Illinois Illinois Department of Public Health PROOF OF SCHOOL DENTAL EXAMINATION FORM To be completed by the parent (please print):
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Document Date: 2014-05-21 15:34:43


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File Size: 74,40 KB

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MedicalCondition

infection / pain / abscess / disease / /

Organization

Authority of the State of Illinois / Illinois Illinois Department of Public Health PROOF OF SCHOOL DENTAL EXAMINATION FORM To / Street City ZIP Code Illinois Department of Public Health / Division of Oral Health / /

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Position

dentist / /

ProvinceOrState

Illinois / /

URL

www.idph.state.il.us / /

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