Skip to main content
Skip to page content
Skip Navigation LinksPennsylvania Department of Health > My Health > School Health > Dental Forms
Dental Health Program Forms
 
Schools will need to print copies of the Private Dentist Report and School Dental Health Record.
It is recommended that schools provide the dental exam forms on their respective websites for parents or provider offices to print, as needed.
 
This form may be used by both the mandated and dental hygiene programs for students examined by their private providers.
 
This form may be used by both the mandated and dental hygiene programs as the dental portion of a student's comprehensive health record. This form may be used by both the mandated and dental hygiene programs as the dental portion of a student's comprehensive health record. Schools may accept exams on the private dentist's own form as long as it comparable to the DOH approved form.Schools may accept exams on the private dentist's own form as long as it comparable to the DOH approved form.
  
Updated: January 2018