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Consent for Services (Tiers 1 and 2) - School Dental Health Program - Vermont
Consent for Services (Tiers 1 and 2) - School Dental Health Program is a legal document that was released by the Vermont Department of Health - a government authority operating within Vermont.
FAQ
Q: What is the Consent for Services (Tiers 1 and 2) form?
A: The Consent for Services (Tiers 1 and 2) form is a document required for participation in the School Dental Health Program in Vermont.
Q: What is the School Dental Health Program?
A: The School Dental Health Program in Vermont provides dental services to students in schools.
Q: What is Tier 1 of the School Dental Health Program?
A: Tier 1 of the School Dental Health Program includes basic preventive dental services like cleanings and fluoride treatments.
Q: What is Tier 2 of the School Dental Health Program?
A: Tier 2 of the School Dental Health Program includes comprehensive dental exams and restorative treatments like fillings and sealants.
Q: Why is the Consent for Services form necessary?
A: The Consent for Services form is necessary to ensure that parents or guardians give permission for their child to receive dental services through the School Dental Health Program.
Q: Who needs to complete the Consent for Services form?
A: The Consent for Services form needs to be completed by parents or legal guardians of students who wish to participate in the School Dental Health Program.
Q: Can I opt out of the School Dental Health Program?
A: Yes, parents or legal guardians can choose to opt out of the School Dental Health Program by not completing the Consent for Services form.
Q: Are there any costs associated with the School Dental Health Program?
A: No, the School Dental Health Program in Vermont is designed to provide free dental services to students.
Q: What if my child requires additional dental treatment?
A: If your child requires additional dental treatment beyond what is covered by Tiers 1 and 2, the School Dental Health Program coordinator can provide referrals and help connect you with other dental resources.
Form Details:
- Released on May 8, 2023;
- The latest edition currently provided by the Vermont Department of Health;
- Ready to use and print;
- Easy to customize;
- Compatible with most PDF-viewing applications;
- Fill out the form in our online filing application.
Download a fillable version of the form by clicking the link below or browse more documents and templates provided by the Vermont Department of Health.
Download Consent for Services (Tiers 1 and 2) - School Dental Health Program - Vermont
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