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School Dental Screening Opt Out Form

    The Brant County Health Unit will soon be visiting your child’s school as part of our dental screening program.


    • The screening is a quick look in your child’s mouth by a Registered Dental Hygienist using a dental mirror.
    • A different sterilized mirror is used for each child. The hygienist will complete routine COVID-19 screening daily and will be wearing masks and practicing appropriate hand hygiene between each child.
    • Our school screenings do not replace any needed visits with your family dentist - If you have a current concern about your child’s mouth please follow up with a dentist, do not wait for the school screening visit.


    • The screening is to let you and your child know if there is any concern that may indicate a dental problem that could require a follow up visit to the dentist.
    • Public health will help to cover the cost of the dental visits if needed.
    • These school screening visits allow public health to collect data on the dental health of each school.
    • This is a mandatory program under the Health Protection and Promotion Act, Regulation 570.

    What happens next?

    • Every child screened will receive a “report card” from the dental hygienist to communicate the findings.
    • If the screening identifies a concern that could indicate a dental problem, the report card will outline the appropriate next steps.

    It is very important that your child be part of the school dental screening program.

    If you consent to your child being screened, no further action is required.
    For a calendar of when we will be at your child’s school, please visit school screening calendar.

    If you do not wish for your child to take part, please complete the form below to opt out.

    Please contact the Brant County Health Unit Dental Program at 519-753-4937 ext.450 or with any questions or concerns.