Attachment DENTAL CLINIC Log.pdf

This is a dental clinic log form used by the Maryland Department of Juvenile Justice at the Baltimore City Juvenile Justice Center to document dental services provided to detained youth. The form serves as a record-keeping instrument for tracking patient visits, clinical activities, and treatment outcomes. Each log entry captures the dentist's name, date of service, clinic operating hours, youth demographics including name and date of birth, reason for visit (initial/annual exam, routine cleaning, sick call/acute request, or follow-up), unit assignment, diagnosis and treatment completed or reason the youth was not seen, and scheduling information for subsequent appointments. The form includes columns for documenting clinical activities related to each visit and space for pagination to accommodate multiple pages of records.

The dental clinic log is a standard operational document designed to maintain comprehensive records of all dental encounters at the facility. This documentation supports clinical continuity of care, treatment tracking, compliance with health standards for detained youth, and administrative oversight of the dental services program. The form's structure enables dental staff to systematically record visits for the male youth population aged twelve to twenty years old who are referred by DJS medical personnel and receive on-site treatment in the BCJJC dental suite.