Get Public Health Supervision Notification & Standing Orders Forms - Mainedental
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How to fill out the Public Health Supervision Notification & Standing Orders Forms - Mainedental online
Filling out the Public Health Supervision Notification & Standing Orders Forms is essential for dental hygienists providing public health services in Maine. This guide offers clear, step-by-step instructions to help you navigate the online form efficiently.
Follow the steps to complete your form successfully.
- Click ‘Get Form’ button to obtain the Public Health Supervision Notification & Standing Orders Forms and open it for editing purposes.
- Begin by entering your full name in the designated field labeled 'Hygienist Name.' Make sure to provide your official name as it appears on your dental hygiene license.
- Fill in your license number in the specified section labeled 'License #.' Ensure that the number is accurate and corresponds to your licensed status.
- Provide your complete address, including street address, town or city, state, and zip code in the corresponding fields.
- Enter your email address in the 'E-mail' field and ensure that it's valid, as this may be used for communication regarding your submission.
- Input your contact phone numbers under the 'Phone' section, separating home and work numbers as required.
- Identify the agency sponsoring your activity by entering its name in the 'Agency Sponsoring Activity' field.
- Provide the name of your supervising dentist, along with their license number in the 'Supervising Dentist' and 'Dentist Lic #' fields.
- Clearly list the specific dates of your activities in the 'Date(s) of Activity' section, using precise language to avoid ambiguity.
- Detail the activity sites in the 'Site(s) of Activity' section, mentioning names, locations, and counties. If there are multiple sites, attach an additional sheet if necessary.
- Specify the population served in your program, focusing on the group or community that will benefit from your services.
- Articulate the purpose of the program, ensuring it aligns with the services being provided and is clear to the reader.
- List the specific dental hygiene services to be provided, keeping descriptions precise and in accordance with guidelines.
- Review the sections related to infection control and participant information. Agree to the guidelines by providing your signature in the designated area.
- After completing the form, review all entries for accuracy before finalizing your submission.
- Once satisfied with the information you've provided, you can save your changes, download the completed form, print it, or share it as needed.
Complete your Public Health Supervision Notification & Standing Orders Forms online today for a smooth submission process.
RDA requirements typically include education from an accredited dental assisting program and passing a national certification exam. Some states require a state-specific exam or additional clinical experience. It's essential to understand your state’s unique requirements for RDAs, and links to helpful resources, such as Public Health Supervision Notification & Standing Orders Forms - Mainedental, can equip you with the necessary tools and forms.
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