Sowams School Dental Screening

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YOUR RESPONSE IS REQUIRED

Dr. Theodore Drummond DMD will be conducting our yearly dental screening on February 26,2024. Dental screenings are required by the Rhode Island Rules and Regulations for School Health Programs. If your child receives routine dental care from a private dentist they do not need to participate in the screening. However, you need to complete the parent response below. Children who do not have a copy of a recent dental exam or a parent response recorded will be screened.

Thank you,

Sue Mungovan RN

Email *

PLEASE RESPOND TO THE FOLLOWING SURVEY TO ACCEPT OR DECLINE THE DENTAL SCREENING. *

YES: My child needs to be seen by the school dentist.

NO: My child sees a private dentist regularly & does not need to be seen by the school dentist.

Student Last Name *

Student First Name *

Teacher/Grade *

Howard K

Silva K

Thronton K

Felag 1

Arguelles 1

Lovegreen 1

Tutt 2

Promades 2

Rackliffe 2

Fagan 3

Gleason 3

Adamson 3

My child's dentist is: *

My child's next or last dental appointment: *

MM / YYYY

Name of parent/guardian filling out form: *

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