Current through Register Vol. 47, No. 6, September 18, 2024
Exclusions to these rules are permitted on an individual basis
for religious and financial hardship reasons. Applicants approved for a
religious or financial hardship exemption shall submit to the admitting
official a valid Iowa department of public health certificate of dental
screening exemption.
(1) Religious
exemption. A religious exemption may be granted to an applicant if the dental
screening conflicts with a genuine and sincere religious belief.
a. The certificate of dental screening
exemption for religious reasons shall attest that the dental screening
conflicts with a genuine and sincere religious belief and that the belief is in
fact religious and not based merely on philosophical, scientific, moral,
personal, or medical opposition to dental screenings.
b. The certificate of dental screening
exemption for religious reasons shall be signed and dated by the applicant or,
if the applicant is a minor, by the parent or guardian.
c. The certificate of dental screening
exemption for religious reasons is valid only when notarized.
d. To be valid, the certificate of dental
screening exemption for religious reasons shall be the department certificate
or a form approved in writing by the department.
(2) Financial hardship exemption. A financial
hardship exemption may be granted to an applicant who is unduly burdened by the
cost of a dental screening.
a. The certificate
of dental screening exemption for financial hardship reasons shall attest that
dental screening would cause a genuine financial burden to the
applicant.
b. The certificate of
dental screening exemption for financial hardship reasons shall be signed and
dated by a dentist, dental hygienist, physician, physician assistant, or
nurse.
c. The certificate of dental
screening exemption for financial hardship reasons shall include the provider
type and the provider's name, business address, and telephone number.
d. To be valid, the certificate of dental
screening exemption for financial hardship reasons shall be the department
certificate or a form approved in writing by the department.
(3) A faxed copy, photocopy, or
electronic copy of the valid certificate of dental screening exemption is
acceptable.
