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 department 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. 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.
Notes
Iowa Admin. Code
r. 641-51.3
ARC 8980B, IAB 8/11/10,
effective 7/14/10
Adopted by
IAB
May 28, 2025/Volume XLVII, Number 24, effective
8/1/2025
