Kentucky law requires proof of a dental screening or examination for five and six year olds in their first year of public school. This one-page form records whether a screening or full exam was done, coded findings for untreated decay, treated decay and early childhood cavities, and how urgently the child needs care, so the school has the result on file by January 1.
The parent supplies the child's details and school. A dentist, dental hygienist, physician, physician assistant, APRN or registered nurse with training completes the findings, checks their professional affiliation and signs.
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Kentucky Dental Screening/Examination Form for School Entry
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Yes. Kentucky law accepts a dental screening or examination by a dentist, dental hygienist, physician, registered nurse, advanced practice registered nurse or physician assistant. The screener checks their professional affiliation and signs the form.
Proof must be presented to the school no later than January 1 of the first year that a five or six year old child is enrolled in public school. The form records the screening or exam date.
Code 2 means referral for urgent care. Code 1 means early dental care is needed and code 0 means no obvious problem. The form notes that a comment is required when a problem is marked, so the school knows what was seen.