Name 40HOUR SHADOWING FORM Dental Office Or Facility Phone Number of Office w/ Area Code Date Name of Dental Hygienist Verification Signature Number of Hours.

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How to fill out the OUHSC 40-Hour Shadowing Form online

This guide provides step-by-step instructions on how to complete the OUHSC 40-Hour Shadowing Form online. Following these clear directives will ensure a smooth and efficient submission process for users of all experience levels.

Follow the steps to effectively complete the OUHSC 40-Hour Shadowing Form online.

  1. Click ‘Get Form’ button to access the form and open it in the online editing interface.
  2. Begin by entering your name in the designated field. Ensure that it is spelled correctly, as this information is crucial for identification.
  3. In the next section, input the name of the dental office or facility where you will be shadowing. This should clearly identify the location.
  4. Provide the phone number of the office, including the area code, in the appropriate field. This contact information facilitates communication regarding your shadowing experience.
  5. Select the date on which the shadowing will take place. Accurate date entry is important for scheduling and verification purposes.
  6. Enter the name of the dental hygienist you will be shadowing in the specified area of the form. This will help ensure your hours are verified.
  7. Indicate the total number of hours you will be shadowing. Be precise in your calculation to reflect the actual hours spent.
  8. Lastly, provide your signature in the verification signature field. This confirms your acknowledgment of the information provided.
  9. Once all fields are completed, you can save changes, and choose to download, print, or share the form as needed.

Start filling out your OUHSC 40-Hour Shadowing Form online today!

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The Ohio University Physical Therapy Program takes pride in our comprehensive 3-year curriculum that provides the depth and breadth of preparation for you to excel as a clinician.

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