Get Body Art Practitioner Registration Application - San Mateo Health ... - Smchealth

This guide provides clear and concise instructions for filling out the Body Art Practitioner Registration Application for San Mateo County Health. Following these steps will help ensure that you complete the application accurately and efficiently online.

Follow the steps to complete your application successfully.

1. Press the 'Get Form' button to access the Body Art Practitioner Registration Application. This action will open the form in an editable format, allowing you to fill it out conveniently.
2. In Section 1, provide your general practitioner information. Enter your full legal name, include your date of birth to confirm you are 18 or older, and provide your mailing address, home phone number, city, state, ZIP code, and email address.
3. Move to Section 2 to indicate your practitioner registration status. Answer whether you are currently registered as a practitioner in San Mateo County and, if yes, include your registration number.
4. Proceed to Section 3. Here, you will detail your work location. Provide the establishment or shop name where you will conduct body art practices. Fill in the email address, city, street address, and business phone number of the facility.
5. In Section 4, you will self-certify the information provided in your application. Type or sign your name, affirming that all information is true and that you comply with applicable regulations. Ensure you include the date of your signature.
6. Once you have filled in all sections of the form, review your information for accuracy. After confirmation, you can save your changes, download a copy for your records, print the form, or share it as needed.

Ready to complete your application? Start filling out the Body Art Practitioner Registration Application online now.