Get University Of Texas Health Science Center At Houston Shadowing Form 2017-2025

Completing the University Of Texas Health Science Center At Houston Shadowing Form is essential for documenting your required shadowing experience with a dental hygienist. This guide will provide you with a clear, step-by-step approach to filling out the form accurately online.

Follow the steps to complete your shadowing form successfully.

1. Click ‘Get Form’ button to obtain the form and open it in the editor.
2. Enter your full name in the designated space. Ensure that your name is spelled correctly, as it will appear on your records.
3. Input your MyUTH ID in the specified field. This unique identifier will help to link your shadowing experience to your academic profile.
4. Fill in the name of the dental office where you observed. This is crucial for record-keeping purposes.
5. Provide the phone number of the dental office, ensuring you include the area code for greater accuracy.
6. Indicate the printed date of your observation in the corresponding section. This should reflect the specific day on which you completed your shadowing hours.
7. Enter the name of the dental hygienist you shadowed. It is essential to include the full name to verify the hours documented.
8. Obtain the dental hygienist’s signature. This confirms your shadowing experience and must be included for validation.
9. Fill out the dental hygienist’s license number and state in the provided fields. This ensures compliance with state regulations.
10. Finally, document the total number of hours you shadowed the dental hygienist. Make sure this meets the minimum requirement of 20 hours. Applicants must complete 20 hours shadowing a registered dental hygienist; shadowing a dentist will not be accepted.
11. Review all entries for accuracy and completeness. Once confirmed, save your changes, and you may choose to download, print, or share the completed form as necessary.

Start filling out your shadowing form online today to document your valuable experience.