Dental Care Templates

This Form is used for gathering information about a patient's dental health history, including past dental treatments, allergies, and any current dental concerns. It helps dentists assess the patient's oral health and provide personalized care.

This document is a sample tooth fairy letter specifically designed for a young boy. It can be used as a template for parents to write a personalized letter from the tooth fairy to their child, celebrating the loss of a tooth. The letter typically includes a congratulatory message, a small reward, and whimsical details about the tooth fairy's visit.

This document is a template for a certificate to celebrate a child's first tooth. It can be personalized and filled in with the child's name and date of their first tooth. Perfect for commemorating this special milestone!

This certificate template is used to acknowledge individuals who have no cavities. It can be used as a recognition for good oral hygiene and dental health.

This document is a template for creating an invoice for the Tooth Fairy. It can be used to itemize and record the amount of money the Tooth Fairy leaves in exchange for a lost tooth.

This form is used for dentists to provide statements regarding a patient's dental condition or treatment. It may be required for insurance claims or other purposes related to dental care.

This document is used for patients who are refusing to receive dental treatment. It records the patient's decision to decline the recommended treatment and can protect both the patient and the dentist legally.

This document is a template for creating a teeth brushing plan. It helps to track and schedule daily teeth brushing routines.

This form is used for obtaining consent from the patient for undergoing a root canal treatment.

This document provides a tooth brushing chart to help the entire family maintain bright smiles.

This form is used for requesting an oral health assessment or waiver. It provides important information for evaluating your oral health needs or granting an exemption.

This form is used for gathering information about a patient's dental history, current health status, and insurance information before their dental appointment.

This document is a template for a Bravery at the Dentist Award Certificate. It is used to recognize individuals who show exceptional courage during their dental appointments.

This document provides award certificate templates for individuals who have taken good care of their braces.

Download this document if you are a dental provider in order to determine the dental condition of a service member's family member. The information is collected for relocation clearance for travel.

This type of document is a black-colored certificate template that can be used to create a note from the Tooth Fairy. It is a fun and creative way to celebrate losing a tooth and leaving a special message for the child.

This document is a certificate to celebrate a child's first tooth falling out, with a Tooth Fairy theme. It is given by Tfi Dentistry.

This form is used for documenting and diagnosing pediatric dental conditions. It is commonly used by dentists specialized in providing dental care to children.

This form is used for receiving outpatient treatment or dental records.

This form is used for granting authority to consent to medical, surgical, and dental care for a child in California as per the California Welfare and Institutions Code section 366.27.

This form is used for claiming benefits under the Public Service Dental Care Plan (PSDCP) in Canada.

This document is a request form for reimbursement for the Adult Dental Program in Newfoundland and Labrador, Canada. It allows eligible individuals to seek reimbursement for dental expenses covered under the program.

This type of document is used for reporting dental expenses in Newfoundland and Labrador, Canada. It is written in French.

This document provides a summary of dental providers organized by county in New Jersey. It includes information on dentists and dental clinics available in each county.

This document is used for keeping a record of periodontal maintenance procedures.

This form is used for recording the plaque index and bleeding points for dental assessment.

This form is used for dental emergency care provided by the 59th Medical Wing (MDW).

This form is used for waiving the requirement of a dental examination for students in the state of Illinois.

This form is used for reporting dental information in the state of Texas. It is used to provide details about dental treatments, diagnoses, and other relevant information.

This form is used for certifying that there are no medical reasons preventing a dental procedure in the state of Texas.

This document promotes oral health for children and adolescents through the Medicaid benefit. It provides information and guidelines on how to keep kids' teeth healthy.

This document is an Evidence of Coverage (EOC) Checklist for a single Health Maintenance Organization (HMO) plan in Texas that covers dental care services. It helps individuals understand and keep track of what services are included in their dental coverage.

This form is used for submitting a dental claim to the Medical Services Plan (MSP) in British Columbia, Canada. It is used to request reimbursement for dental services received.

This form is used for reporting the dental disposition of a medical assistance case in Arkansas.

This Form is used for obtaining a collaborative care permit for dentists and hygienists in the state of Arkansas.

This document highlights the efforts to improve oral health for all Americans in the year 2016.

This document is for obtaining consent for an endodontic procedure in the state of Iowa. It outlines the risks and benefits of the treatment and ensures that the patient understands and accepts them.