Get Application For Certification Anesthesia Dental Assistant $50 - Oregon

Filling out the Application for Certification Anesthesia Dental Assistant in Oregon can be straightforward with the right guidance. This comprehensive guide will walk you through each section of the form to ensure a smooth application process.

Follow the steps to successfully complete your application online.

1. Press the ‘Get Form’ button to access the application form, which will open in your preferred editor.
2. Fill in your personal information, including your name, address, city, state, zip code, and telephone number. Ensure all details are accurate and up-to-date.
3. If you are currently employed, include your employer's name and address, as well as the corresponding city, state, zip code, and telephone number.
4. Prepare to submit the application fee of $50. Ensure your payment is non-refundable and make checks payable to the Oregon Board of Dentistry.
5. Attach proof of completion of an accepted program or course related to anesthesia assistance, ensuring the documentation meets the specified requirements.
6. Include proof of your current Healthcare Provider BLS/CPR certification or its equivalent, as this is necessary for your application.
7. Sign and date the application at the designated areas to confirm the accuracy of your information and your agreement with the requirements.
8. Once all sections are completed and reviewed, save your changes. You may download, print, or share the final document as needed.

Complete your Application for Certification Anesthesia Dental Assistant online today!