AGENCY: Department of Health. Bureau of Health Promotion

SERIES: 81944
TITLE: Dental examination consent form
DATES: 1983-
ARRANGEMENT: Numerical by student number

DESCRIPTION: These are consent forms signed by parents permitting the bureau to include their children in the dental survey conducted in the school. The information includes the student's name, address, previous residences, school, and age; the teacher's name; and the parent's signature.

RETENTION

Retain for 2 year(s)

DISPOSITION

Destroy.

RETENTION AND DISPOSITION AUTHORIZATION

These records are in Archives' permanent custody.

APPROVED: 06/1987

FORMAT MANAGEMENT

Paper: Retain in Office for 2 years and then destroy.

APPRAISAL

Administrative

This record has only administrative value. As the bureau does not conduct any treatment, they would not be subject to malpractice action.

PRIMARY DESIGNATION

Private

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