Healthy Smiles Ontario Parent Notification Preventive Services Only Stream (HSO-PSO)

This form is to be used by Public Health Units after dental screening to notify parents/guardians that their child would benefit from preventive dental services. If the parent/guardian can complete the form and return it to the Public Health Unit if they wish to enroll their child into the Preventive Services Only Stream of Healthy Smiles Ontario.

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Form Number 014-5035-64
Title Healthy Smiles Ontario Parent Notification Preventive Services Only Stream (HSO-PSO)
Description This form is to be used by Public Health Units after dental screening to notify parents/guardians that their child would benefit from preventive dental services. If the parent/guardian can complete the form and return it to the Public Health Unit if they wish to enroll their child into the Preventive Services Only Stream of Healthy Smiles Ontario.