2019 TCC Dental Hygiene Program Required Observation Hours Form-2025

1. Click ‘Get Form’ to open it in the editor.
2. Begin by entering your full name and contact number in the designated fields at the top of the form.
3. Fill in your email address and the total clock hours observed. Ensure that you accurately record the date(s) of observation.
4. If applicable, check the box indicating that you were strictly in the office for observation of a practicing dental hygienist, confirming that you have completed at least 16 hours.
5. Have the dental hygienist sign and print their name, along with their professional title and license number in the provided sections.
6. Complete the dentist's name, office address, and phone number where the observation took place.
7. Review all entries for accuracy before saving or exporting your completed form for submission.

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