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Illinois Dental Exam Form. To be completed by dentist: Oral health status (check all that apply) £ £ no dental sealants present.
To be completed by dentist: Oral health status (check all that apply) £ £ no dental sealants present.
To be completed by dentist: Oral health status (check all that apply) £ £ no dental sealants present. To be completed by dentist:
