Get General Information And Instruction Sheet - Oregon

This guide provides clear and supportive instructions on completing the General Information and Instruction Sheet for dental hygiene licensure in Oregon. Follow these steps to ensure your application is accurate and complete.

Follow the steps to successfully complete your application form.

1. Click the ‘Get Form’ button to access the General Information and Instruction Sheet. This will allow you to open the form in your preferred document editor.
2. Begin filling out the personal information section, including your first name, middle name, last name, and any other names you have used. Ensure all entries are accurate.
3. Provide your contact information, including your telephone number and mailing address, ensuring to format it as required.
4. Enter your social security number, place of birth, and date of birth accurately in the designated fields.
5. Detail your educational background, including the names and locations of dental hygiene programs you attended, along with the dates of attendance and the degree obtained.
6. Respond to the specified questions concerning your physical or mental health, current licenses, and any past disciplinary actions. If you answer 'yes' to any question, attach a separate sheet with the required explanations.
7. Affix a recent photograph (2” x 2”) where indicated and ensure it is signed and dated.
8. Complete the application fee information. Make sure to include the appropriate amounts and payment method.
9. Sign the application, confirming the correctness of the information provided. This signature must be notarized.
10. Review the entire application for completeness and accuracy before submission. Gather all necessary supporting documents and verification for clinical practice hours.
11. Once satisfied, save any changes made to the document. You can download or print a copy for your records before sending it to the Oregon Board of Dentistry at the specified address.

Start your application process online by following the steps outlined in this guide.