Get Permissible Practices Documentation For Dental Assistants Form - Dental Ohio

The Permissible Practices Documentation For Dental Assistants Form is vital for ensuring that dental assistants in Ohio are properly certified and trained to perform certain duties. This guide provides step-by-step instructions on how to complete this form online accurately and efficiently.

Follow the steps to successfully fill out the form.

1. Press the 'Get Form' button to obtain the form and open it for editing.
2. Complete Section 1 by entering your certificate and registration holder information, including your name, radiographer certification number, and any other names you have used. Ensure to fill in the coronal polishing and EFDA registration numbers, if applicable.
3. Move to Section 2 and provide the supervising dentist’s information, including their Ohio license number, name of the practice, and full address. This information verifies the dentist's endorsement of your capabilities.
4. In Section 3, indicate your qualification for monitoring nitrous oxide-oxygen (N2O-O2) minimal sedation. Attach the necessary certificates to support your qualifications based on your training and experience.
5. Fill out Section 4 pertaining to the Dental Assistant Radiographer Certificate. Ensure you attach copies of your dental assistant radiographer certification and renewal receipt.
6. Complete Section 5 for pit and fissure sealants, ensuring you document your training courses and attach necessary certificates.
7. In Section 6, provide your coronal polishing certification information along with supporting documents.
8. Continue to Section 7, entering details regarding your Expanded Function Dental Auxiliary registration and attach all relevant documents.
9. Fill Section 8 by certifying your Cardiopulmonary Resuscitation (CPR) certification status and attach the documentation.
10. Complete Section 9 by documenting your Hepatitis B immunization status and provide supporting documents.
11. In Section 10, attest to the accuracy of the information provided on this form with your signature and date.
12. Once all information is accurately entered and required documents are attached, save your changes. You can download, print, or share the completed form as needed.

Start filling out your form today to ensure compliance with dental assistant regulations in Ohio.