In short
Act 63-2017 declares as public policy guaranteeing access to oral health services for every patient in Puerto Rico, particularly for school-age children or minors. The father, mother or legal guardian, custodian or tutor of every minor shall have the duty to take them to a state-licensed dentist for an oral and dental health evaluation, preventive services and/or treatment at least twice a year until age five (5), once a year after five (5), or whenever the minor’s health warrants it; and presenting an oral exam certificate shall be a requirement of admission or enrolment in public or private schools for minors under 18. The oral exam certification shall be required in kindergarten, second grade, fourth grade, sixth grade, eighth grade and tenth grade for every minor to be enrolled at the start of classes in a public or private school; if that certification is absent on the enrolment date, provisional admission shall proceed, and the father, mother, guardian, custodian or legal tutor must provide it within no more than thirty (30) days. No student or preschool child may be admitted or enrolled in a school, day care centre or social treatment centre if an oral exam has not been performed during the year immediately preceding enrolment; in the case of the oral exam, that requirement shall be demanded only from kindergarten onward. This provision shall not apply to minors whose admission is ordered by the Court of First Instance, Juvenile Matters.
What is it?
It is the dental enrolment requirement, the lesser-known cousin of the vaccination certificate. It is not asked every year: the law requires it in six specific grades, and if you do not have it on enrolment day the child still enters — provisionally — and you have thirty days to bring it.
Who can do it?
It applies to every minor under eighteen (18) enrolling in a public or private school in Puerto Rico. The law expressly excepts minors whose admission is ordered by the Court of First Instance, Juvenile Matters.
Requirements
- That the oral exam was performed during the year immediately preceding enrolment.Verified against the official source
- That the certificate be the form provided by the Health Department, signed by an oral health professional duly authorised to practise in Puerto Rico.Verified against the official source
Documents you need
Cost
Step by step
Step 1: The six grades where it is required
The law lists them and it is not every year: “The oral exam certification shall be required in kindergarten, second grade, fourth grade, sixth grade, eighth grade and tenth grade for every minor to be enrolled at the start of classes in a public or private school.”
Step 2: If you do not have it: provisional enrolment and 30 days
This is the part that avoids the August panic. “If that certification is absent on the enrolment date, provisional admission shall proceed, and the minor’s father, mother, guardian, custodian or legal tutor must provide it within no more than thirty (30) days from that date.” It is not grounds to leave the child unenrolled.
Step 3: The exam must be from the previous year
One from three years ago does not count. “No student or preschool child may be admitted or enrolled in a school, day care centre or social treatment centre if an oral exam has not been performed during the year immediately preceding enrolment. In the case of the oral exam, that requirement shall be demanded only from Kindergarten onward.”
Step 4: What the oral exam includes, per the law
The legal definition is concrete and useful for knowing what to ask for at the dental office: “the procedure generally accepted by oral health professionals duly authorised to practise as such in Puerto Rico, aimed at preventing and controlling oral and dental diseases, which includes a dental cleaning with removal of gingival calculus, removal of extrinsic stains and dental plaque by polishing, and treatment with topical fluoride.”
Step 5: It must be the Health Department’s form
Not just any note from the dentist. The oral exam certificate “shall mean the form provided by the Health Department, signed by an oral health professional duly authorised to practise as such in Puerto Rico, certifying that a particular person has been examined in accordance with dental practice in Puerto Rico.”
Step 6: The frequency the law asks of you as a parent
It is a duty separate from the enrolment requirement, and it goes by age: take the minor to a state-licensed dentist “at least twice a year until age five (5), once a year after five (5), or whenever the minor’s health warrants it.”
Step 7: Who oversees compliance and what happens if not
We say it in the law’s words, adding nothing. “The Director or the staff designated by the Director of each public or private school shall be responsible for ensuring compliance with this provision and establishing the procedure to notify the Family Department in case of non-compliance. The Family Department shall evaluate and follow due process of law should it find the minor’s father, mother or guardian, custodian or legal tutor to be found in acts of neglect or abuse for failing to comply.” It is a referral and an evaluation: the law does not declare that a missing certificate is, by itself, neglect.
Step 8: The Juvenile Court exception
Short and express: “This provision shall not apply to minors whose admission is ordered by the Court of First Instance, Juvenile Matters.”
Where to do it
The certificate is obtained from a state-licensed dentist, on the Health Department’s form, and handed in at the school where you enrol. The duty to require it falls on the registrar, school directors and day care or social treatment centres; the duty to submit it, on parents or guardians. If what you need is the vaccination requirement for enrolment, that has its own guide, and it is worth settling both in the same August visit.
How long it takes
If the certificate is missing on enrolment day, admission is provisional and there is a term of no more than thirty (30) days to provide it.
Verified against the official source · August 24, 2026
What to do if something goes wrong
What we did not read and therefore do not publish. We did not read the Health Department’s form or regulation, so we publish no form number, do not describe its fields and do not say where to download it: ask at the dental office or the Health Department. Nor did we read Act 149-1999 or Act 85-2018 on education reform, or the child protection statutes to which the school-responsibility article refers; that is why we describe the referral to the Family Department exactly as the law words it and publish no protection procedure. Cost is left unverified: the law sets no fee, and what the exam costs depends on your dental plan or your pocket, which this Act does not regulate. And a scope limit: the oral-exam enrolment requirement is demanded only from kindergarten onward, although the duty to take the minor to the dentist starts much earlier, twice a year until age five.
Common mistakes
- Believing it is required every year: the law requires it in K, second, fourth, sixth, eighth and tenth.
- Not enrolling the child for lack of the certificate: the law orders provisional admission and thirty days.
- Bringing an old exam: it must have been performed during the year immediately preceding enrolment.
- Handing in any note from the dentist: it must be the form provided by the Health Department.
- Thinking it applies only to public school: the text says public or private school.
- Forgetting the frequency by age: twice a year until five, once a year after.
Frequently asked questions
In which grades is the oral exam certificate required?
In kindergarten, second, fourth, sixth, eighth and tenth grade, for the minor to be enrolled at the start of classes in a public or private school.
What if I do not have it on enrolment day?
Provisional admission proceeds, and the father, mother, guardian, custodian or legal tutor must provide it within no more than thirty (30) days from that date.
How recent must the exam be?
It must have been performed during the year immediately preceding enrolment. That requirement is demanded only from kindergarten onward.
How often must I take my child to the dentist?
At least twice a year until age five (5), once a year after five (5), or whenever the minor’s health warrants it.
Official sources
These are the government pages this guide is based on.
- Departamento de Salud de Puerto Rico
Salud
bvirtualogp.pr.gov
Last verified
August 24, 2026
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