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School Dental Screening Nonparticipation Form

School dental screenings are optional. Each year you do not want your child to participate in the dental screenings, you must contact us one of the following ways:

If your child switches schools during the school year, it is your responsibility to notify us.

* = Required

Student Information

* Date of birth

Personal Information and Privacy

Any personal information or personal health information submitted in writing will be collected, used and disclosed by members of Regional Council and Regional staff in accordance with the Municipal Freedom of Information and Protection of Privacy Act or the Personal Health Information Protection Act, where applicable.

Freedom of Information

Any information you share will be used only for the intended purpose for which it was provided. If you have any questions, email our Access and Privacy Office or call 905-980-6000 ext. 3779.

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