February 14, 2024

Dear Parents/Guardians,

I hope this letter finds you well. I am writing to inform you about an important activity we will
be conducting in school regarding your child's dental health.

As part of our commitment to promoting overall well-being and ensuring the health of our
students, we have scheduled a dental charting session. Dental charting is a process in which
we record specific information about your child's dental health, including existing dental
conditions, treatments received, and any necessary follow-up care.

The dental charting session will take place on February 20 and 21, 2024 only, free of charge
to be done in school. We have partnered with the Dentist - Benguet Chapter to conduct this
session, and licensed dental professionals will be the one to perform the charting.

Please be assured that the information collected during this session will be kept confidential
and will only be accessible to authorized personnel involved in your child's care. The purpose
of dental charting is to help us monitor your child's oral health.

We kindly request your cooperation in ensuring that your child attends the dental charting
session on the specified dates. If you have any concerns or questions regarding this activity,
please do not hesitate to contact us.

Thank you for your ongoing support in promoting the health and well-being of our students.

Sincerely,

Dr, Emelita N. Sao-an

ECI, School Principal
February 14, 2024

Parent/Guardian Consent Form for Dental Charting

I, [Parent/Guardian], hereby give consent for the dental charting of my child,

___________________, who is enrolled at Educare College, Inc. I understand that dental
charting involves the recording of specific information related to my child's dental health,
including existing dental conditions, treatments received, and any necessary follow-up care.
I acknowledge that this information will be collected by licensed dental professionals and will
be used for the purpose of monitoring and promoting my child's oral health. I understand
that the information collected will be kept confidential and will only be accessible to
authorized personnel involved in my child's care.
I understand that participation in the dental charting session is voluntary, and I have the right
to refuse or withdraw consent at any time without affecting my child's enrollment at ECI.
I hereby release ECI any partnering dental service providers from any liability associated with
the dental charting process, provided that it is carried out in accordance with standard
dental practices.
I certify that I am the legal parent/guardian of the aforementioned child and have the
authority to provide consent for their participation in the dental charting session.

Parent/Guardian Name and Signature: ____________________________Date: __________________

____ I will allow my child/ward to join the Dental Charting

____ I will not allow my child/ward to join the Dental Charting because_______________

Please return this signed consent form to the class adviser through your child/ward on or
before February 19, 2024 (Monday). This is to give the dentists exact number of students
availing of the dental service.
Thank you for your cooperation.

Sincerely,

Dr. Emelita N. Sao-an

ECI, School Principal