Oral Health Assessment Forms
Oral Health Assessment Form
DOWNLOAD FORM: Oral Health Assessment Form- The Brush Stop
More information on the Oral Health Assessment requirement:
California law (Education Code Section 49452.8) states your child must have a dental check-up by May 31 of his/her first
year in public school. A California licensed dental professional operating within his scope of practice must perform the
check-up and fill out Section 2 of this form. If your child had a dental check-up in the 12 months before he/she started
school, ask your dentist to fill out Section 2. If you are unable to get a dental check-up for your child, fill out Section 3.
The Brush Stop Pediatric Dentistry is located in Carlsbad, CA 92009. We are nearby San Marcos, San Elijo Hills, La Costa, Leucadia, Encinitas, Del Mar, Solana Beach, and Rancho Santa Fe.
Contact us if you have any questions, please call us 1-760-635-5995 or you can request an appointment by clicking here.