Dental Care Templates

This form is used for adding dental coverage to an individual's Maryland Medical Assistance Program application in Maryland.

This document is a Caries Risk Assessment Tool for children ages 3 through 5 years in Texas. It helps assess the risk of tooth decay in young children.

This form is used for applying for an exemption as an incorporated nonprofit dental health center in the state of Maine.

This document is used to request fluoride analysis in the state of Wyoming.

This Form is used for requesting prior authorization for limited orthodontic treatment in the state of Vermont.

This form is used for recommending, certifying, and ordering medical, surgical, dental, or other remedial care in the County of Alameda, California.

This document is a patient attestation form for oral health connections in Washington, specifically for individuals who speak Chinese Simplified. It is used to provide proof and agreement regarding oral health services.

This form is used for obtaining an order to authorize emergency or non-routine medical, surgical, or dental care in Sacramento County, California.

This form is used for authorizing medical and dental care and limited release of information for children placed by the Juvenile Court in out-of-home care in Sacramento County, California.

This form is used for physicians in Sacramento County, California to declare their recommendation or approval for medical, surgical, or dental care for a patient.

This form is used for requesting a court order to authorize emergency or non-routine medical, surgical, or dental care in Sacramento County, California.

This consent form is used in North Dakota for applying fluoride varnish to protect teeth from cavities.

This type of document is used for obtaining and renewing permits for portable and mobile dental units in the state of Alabama.

This document is used for obtaining consent for the School Based Oral Health Program in Washington, D.C. The form is available in Korean.

This document is used for referring patients to dental services in the state of Virginia.

This document is a dental health coloring page that promotes the importance of a good diet for maintaining dental health.

This template is a visual instrument used in the field of dentistry to describe the structure of teeth and illustrate various dental issues.

This document is a Baby Tooth Chart provided by Bickiepegs. It is used to track and record the eruption of a baby's teeth.

This document is a tooth care chart that provides information and guidance on how to take care of your teeth. It includes tips on brushing, flossing, and maintaining good oral hygiene.

This document provides a detailed record of a patient's gum health, including measurements and observations. It helps dentists assess and monitor the condition of the gums and plan appropriate treatment.

This document is a weekly teeth brushing chart to help you keep track of your daily brushing habits. It can be a useful tool for promoting good oral hygiene.

This baby tooth chart is a visual guide that shows the order in which a child's baby teeth typically erupt and fall out. It is a helpful tool for parents and dentists to track the growth and development of a child's teeth. The chart is presented in a black and white format, making it easy to print and use.

This document provides a visual representation of a baby tooth chart, which shows the sequence and timing of a child's primary (baby) teeth coming in and falling out.

This document is a dental chart specifically designed for babies. It helps track the growth and development of their teeth.

This document is a tooth arrival chart that displays the order in which baby teeth typically emerge in children.

This document is a weekly toothbrushing chart used to track your brushing habits.

This chart displays the timeline for the eruption of permanent teeth in children. It helps track the development of permanent teeth in relation to age.

This form is used for assessing and evaluating one's oral health. It helps identify potential oral health issues and create a treatment plan.

This document provides a visual guide and timeline of when a child's baby teeth and adult teeth typically emerge. It is used by parents, dentists, and healthcare providers to track the growth and development of a child's teeth.

This document provides a teeth chart for parents to track the growth and development of their child's teeth. It is a useful tool to help parents ensure proper dental care for their children.

This document is a teeth brushing chart that features a variety of colors. It helps track and encourage regular brushing habits.

This document is a monthly brushing chart used to track your daily brushing habits. It helps you stay on top of your oral hygiene routine and ensure that you are brushing your teeth regularly.

This document is a teeth brushing chart in blue color. It helps track and encourage proper teeth brushing habits.

This document is a brushing chart that helps track and schedule dental hygiene habits for different times of the day. It helps ensure regular and proper tooth brushing.

This document provides a chart showcasing the order and timeline of permanent teeth eruption in children.

This document is used for keeping track of daily brushing habits and maintaining oral hygiene. It helps individuals track their brushing frequency and ensure they are maintaining a consistent dental care routine.

This document is a tooth brushing chart that helps you keep track of your brushing routine for both day and night.