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Get Illinois Dental School Form

State of Illinois Department of Public Health DENTAL EXAMINATION WAIVER FORM Please print: Student's Name: Address: Last Street First Middle City Name of School: Birth Date: (Month/Day/Year) ZIP Code.

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  5. Add the date to the sample with the Date option.
  6. Click on the Sign icon and create an electronic signature. You will find 3 options; typing, drawing, or uploading one.
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  8. Select Done in the top right corne to save or send the form. There are many ways for getting the doc. As an instant download, an attachment in an email or through the mail as a hard copy.

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