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CERTIFICATE ROUNTINE DENTAL CLEANING I, Dr. certify that has been in our office today for their routine dental cleaning. My patient thus qualifies for two (2) San Dollars to be awarded at Dr. Sanborns.

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Filling out the Dental Certificate Sample online is a straightforward process that can be completed quickly. This guide will provide step-by-step instructions to ensure accurate and efficient completion of the form.

Follow the steps to successfully complete the Dental Certificate Sample online.

  1. Click ‘Get Form’ button to obtain the form and open it in your preferred editor.
  2. In the first blank field, enter the name of the dentist certifying the patient's cleaning. Be sure to include any relevant professional designations.
  3. In the second blank field, input the full name of the patient who received the routine dental cleaning.
  4. Once the fields are filled, review the information for accuracy to ensure the patient’s name and dentist’s name are correct.
  5. Add the dentist's signature in the designated area, confirming the certification of the dental cleaning.
  6. Input the current date in the appropriate field to anchor the certification timeline.
  7. After completing all fields, you can save changes, download the document, print it, or share it as needed.

Begin filling out your Dental Certificate Sample online today.

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