PA Pre-K Counts requires all children who are in PA Pre-K Counts classes to have a complete dental examination. When the required examination is completed by your family dentist, please have them complete an examination form and return it to your child's teacher by October 15th of the program year. Any exam done within he last 12 months is acceptable.

If you do not have a dentist and can not establish a practitioner please sign this form and submit.

We appreciate your cooperation in this program.