24-25 Annual School Dental Screening Parent Form
Dear Parents:

Rhode Island State Law section 16-21-9(b) mandates that all students in elementary schools be examined by a dentist at least ONCE a year, and then, at least once between the sixth (6th) and tenth (10th) grades.

Students who are seen yearly by their own dentist do not need to be screened at school.

Please indicate below ONLY if you would like your child to be screened by our school dentist this year. 

Sign in to Google to save your progress. Learn more
Email *
Next
Clear form
Never submit passwords through Google Forms.
This form was created inside of Smithfield Public Schools.

Does this form look suspicious? Report