Form DH3204-SSG Consent Form - Dental Sealant Program - Broward County, Florida

What Is Form DH3204-SSG?

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.

FAQ

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.