Ohio state dental board approval form for a dental hygienist - dental ohio 2026

1. Click ‘Get Form’ to open the Ohio state dental board approval form in the editor.
2. Begin by entering your name and license number in the designated fields at the top of the form. Ensure accuracy as this information is crucial for identification.
3. Next, provide the employing dentist's name and license number. This section verifies your employment and supervision.
4. In the experience section, list at least two years and three thousand hours of practice in dental hygiene. Attach supporting documentation to validate your experience.
5. Complete the medical emergency recognition course details by filling in the title, where taken, sponsor, date, and credit hours. Remember to attach a copy of your course completion certificate.
6. Indicate your CPR certification status by selecting 'YES' or 'NO'. If 'YES', provide course title, date taken, and expiration date. Attach necessary documentation.
7. Finally, have your supervising dentist complete the attestation section by signing and dating it to confirm your competency.

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