This is a legal form that was released by the Department of Health - Broward County, Florida - a government authority operating within Florida. The form may be used strictly within Broward County. As of today, no separate filing guidelines for the form are provided by the issuing department.
Q: What is DH3204-SSG Consent Form?
A: DH3204-SSG Consent Form is a consent form used for the Dental Sealant Program in Broward County, Florida.
Q: What is the purpose of the Dental Sealant Program?
A: The purpose of the Dental Sealant Program is to provide preventive dental care by applying dental sealants on children's teeth to prevent tooth decay.
Q: Who is eligible for the Dental Sealant Program?
A: Children in Broward County, Florida are eligible for the Dental Sealant Program.
Q: What is the age range for children eligible for the Dental Sealant Program?
A: Children aged 6 to 18 years old are eligible for the Dental Sealant Program.
Q: What does the DH3204-SSG Consent Form include?
A: The DH3204-SSG Consent Form includes information about the Dental Sealant Program, the benefits and risks of dental sealants, and a section for parents/guardians to provide their consent.
Q: Is there a cost for participating in the Dental Sealant Program?
A: No, there is no cost for participating in the Dental Sealant Program.
Q: Can parents/guardians refuse to give consent for dental sealants?
A: Yes, parents/guardians have the right to refuse to give consent for dental sealants.
Q: Are dental sealants permanent?
A: Dental sealants are not permanent, but they can last for many years with proper care.
Q: Is dental sealant application painful?
A: No, dental sealant application is painless. It involves painting a thin layer of protective material on the teeth.
Form Details:
Download a printable version of Form DH3204-SSG by clicking the link below or browse more documents and templates provided by the Department of Health - Broward County, Florida.