Get the free illinois school dental form 2023

Illinois School Dental is a program that provides free or low-cost dental care for children in public and private schools across the state of Illinois. The program provides preventive care, such as screenings, fluoride treatments, sealants, and simple restorative services, as well as referrals for more complex treatments.

Illinois school districts are required to file an annual report of dental services provided to students. The school district must submit a report to the Illinois State Board of Education (ISBE) on or before August 1 of each year. The information contained in the report must include the number of students that received preventive, restorative, and/or emergency dental services, the type of services provided, and the costs associated with the services.

The purpose of Illinois School Dental is to provide oral health education and preventive services to children in pre-kindergarten through 12th grade, and to provide dental treatment to all eligible children in Illinois, regardless of their family income. The goal is to improve the oral health of children in Illinois by increasing access to preventive and restorative dental care.

The deadline to file Illinois school dental in 2023 has not yet been announced.

The penalty for late filing of Illinois school dental forms is a fine of up to $500.00 and/or up to 30 days in jail.

To fill out the Illinois School Dental Form, follow these steps: 1. Obtain the form: Obtain the official Illinois School Dental Form from your child's school or the school district's website. The form may also be available on the Illinois State Board of Education's website. 2. Provide student information: Fill in the required student information, including the student's full name, date of birth, grade, and school name. Ensure accurate and complete details. 3. Health history: Answer the health history questions on the form. Provide information about any known dental conditions, allergies, or previous dental treatments your child has had. If there are no relevant health concerns, you can clarify that accordingly. 4. Dental examination details: If your child had a dental examination recently, provide the date of the examination, the dentist's name and address, and their contact information. If your child has not had an examination, leave this section blank. 5. Dental treatment: Indicate any necessary dental treatment your child requires, if applicable. This may include information about cavities, orthodontic needs, or any other specific issues identified by the dentist. 6. Parent/guardian signature: Sign and date the form at the designated area to certify that the provided information is accurate to the best of your knowledge. 7. Dental provider signature: If your child had a dental examination, ask the dentist to sign the form, certifying that the examination was conducted and the information provided is accurate. Include their name, address, contact details, and license number. 8. Return the form: Submit the completed form to your child's school. Ensure that all required fields have been filled out, and any necessary signatures have been obtained. Make a copy for your own records if needed. Note: Each school may have its specific guidelines and requirements for dental forms, so double-check if additional information or documents are needed.

The specific information that must be reported on Illinois school dental varies depending on the specific requirements set by the state. However, some common information that may be included in the report could be: 1. Number of students screened: The total number of students who received a dental screening. 2. Dental treatment needs: The specific dental treatment needs identified during the screening, such as cavities, gum disease, or need for braces. 3. Number of students receiving preventive services: The number of students who received preventive services like cleanings, fluoride treatments, or sealants. 4. Referrals for further dental care: The number of students who were referred to a dentist for additional dental treatment beyond what can be provided in a school setting. 5. Follow-up actions: Any follow-up actions taken by the school or school district to ensure that students receive the recommended dental care. 6. Summary of oral health status: A summary or overview of the oral health status of the students screened, including any notable trends or patterns identified. This is not an exhaustive list, and specific reporting requirements may vary. It's best to consult the Illinois Department of Public Health or the specific school district for the exact information needed.

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