Dear Applicant: Format of course:
|
|
- Marianna Hunt
- 7 years ago
- Views:
Transcription
1 Dear Applicant: Thank you for your interest in our Local Anesthesia for Dental Hygienists course. This course meets standards established by the Florida Board of Dentistry and is designed for dental hygienists to receive a certificate for 60 hours of training. At the conclusion of instruction, participants will be able to demonstrate and/or describe the following as specified by F.S concerning anesthesia: Format of course: 1. Theory of pain control. 2. Selection-of-pain-control modalities. 3. Anatomy. 4. Neurophysiology. 5. Pharmacology of local anesthetics. 6. Pharmacology of vasoconstrictors. 7. Psychological aspects of pain control. 8. Systemic complications. 9. Techniques of maxillary anesthesia. 10. Techniques of mandibular anesthesia. 11. Infection Control. 12. Medical emergencies involving local anesthesia. 15 hours didactic (on campus) 15 hours online (a portion must be completed prior to the first day of lab) 15 hours lab (on campus) 15 hours clinical externship (must be completed within 30 business days of the final date of course) Florida CE Broker reporting and certificate will be issued upon successful completion of course. Students are required to supply: Protective safety glasses/goggles Clinical attire/scrubs Textbook: Logothetis, Demetra, D., Local Anesthesia for the Dental Hygienist, Elsevier-Mosby, 2012, ISBN # Please see the attached check list to ensure proper documentation is submitted prior to registration.
2 CONFIDENTIALITY STATEMENT I, Name (printed) understand that I am solely responsible for compliance with the policies of Gulf Coast State College (reference GCSC handbook), rules of the provider offering the clinical externship, and all federal and state HIPAA Privacy and Security Laws. I understand that violation of this agreement will result in immediate dismissal from the course and potential civil or criminal penalties. Signature
3 APPLICANT CHECK LIST Course Applicant: (Print name, phone number & address) Please check off the items below to verify all prerequisites are met. Provide a copy of the required documents and proof of vaccinations to GCSC Health & Environmental Continuing Education Coordinator prior to registration. Florida Dental Hygiene license (current) CPR card (current) Hepatitis B Vaccine or Titer Results TB (PPD) skin test results (current-within a year) MMR vaccine Tetanus-Diphtheria vaccine Polio vaccine Varicella (Chickenpox) vaccine or documented exposure HIPAA (training within past two years) Prevention of Medical Errors (training within past two years) Signed Confidentiality Statement Signed Informed Consent and Release Statement Signed Clinical Externship Agreement (on business letterhead stationery; signed by supervising dentist) Contact your local health department if you have questions concerning your vaccinations. Attached is a list of scheduled classes if you need to satisfy the CPR, HIPAA or Prevention of Medical Errors requirement. Deliver in person, mail, fax or your documents with this check list to: Gulf Coast State College Health Care Continuing Education Student Union East Room West U.S. Hwy. 98, Panama City, FL slock@gulfcoast.edu (850) phone / (850) fax Received by: received:
4 LOCAL ANESTHESIA FOR DENTAL HYGIENISTS Acknowledgment of Receipt of Information INFORMED CONSENT AND RELEASE AGREEMENT As a consenting adult, I agree to permit fellow students and faculty of Gulf Coast State College Dental Programs to perform anesthesia procedures as applicable to the Local Anesthesia for Dental Hygienists course in which I am enrolled. Please realize that what you are being asked to sign is a confirmation that we have discussed the nature and purpose of the procedure(s), the known risks associated with the procedure(s), and the feasible alternatives; that you have been given an opportunity to ask questions and that all your questions have been answered to your satisfaction. Please read this form carefully before signing it and ask about anything that you do not understand. You are advised that the primary purpose of the Local Anesthesia for Dental Hygienists course is for teaching purposes and therefore you will be participating in the teaching program. We will be pleased to explain anything further to you. Consent and Release Before receiving any injection, I acknowledge that I have asked or had the opportunity to ask the dental faculty about the injection procedure(s) and having asked such questions consent to the commencement of the procedure(s). I hereby authorize and direct the Dental Student to assist and/or provide practice of local anesthesia procedures as evaluated by a licensed dentist and/or dental hygiene faculty member. Procedures practiced may include, but are not limited to: Medical and Dental History analysis and continuous review and the application of topical/local anesthesia as administered by the student, licensed Dental Hygienist, and/or licensed Dentist. While highly unlikely, we must inform you that there may be irritation of, or damage to, the tissues involved, including that caused by any injected anesthetic medications. Authorization to Utilize Images I also authorize Gulf Coast State College to use and/or permit others to use the aforementioned images in the following educational, informational and promotional activities without compensation. News Media Educational Publications/Videos Institutional Promotion/Advertising Electronic Publishing (i.e. World Wide Web) Patient initial each activity Liability and Release The undersigned acknowledges that the College is a public institution that is subject to the Florida Sunshine Laws that require the records and documents of the College to be available for public inspection. The undersigned acknowledges that his/her records may be subject to the Florida Sunshine Laws and therefore possible distribution to the public in the event of a public records request. The College will maintain any documents such as medical or dental records that is privileged and protected by other federal or state laws. By signing this form, I am consenting to the procedure(s) associated with the Local Anesthesia for Dental Hygienists course and I am releasing Gulf Coast State College from liability from any injury that might occur as a direct result from this/these procedure(s). Before participating in scheduled lab sessions, I acknowledge that I have read and that I understand this consent agreement, that I have been given an opportunity to ask any questions I might have had, and that those questions have been answered in a satisfactory manner. I also understand that I am free to withdraw my consent to receive an injection at any time. Time Signature of Student Signature of Dental Faculty (Registered Dental Hygienist or Licensed Dentist) CEU_Dental_Consent_Release_Agreement
5 (Business letterhead) CLINICAL EXTERNSHIP AGREEMENT LOCAL ANESTHESIA FOR DENTAL HYGIENISTS Name of Dental Hygienist (printed) License Number has obtained permission to obtain 15 hours of clinical externship in this office/facility as required by the Local Anesthesia for Dental Hygienists course in which he/she is enrolled. All observations/participation will be documented by the supervising licensed Dentist. I understand that provision for this externship must be provided and completed within thirty (30) business days of the final date in the course series. Signature of Supervising Dentist License Number THIS SECTION TO BE COMPLETED AND RETURNED TO: Gulf Coast State College Health Care Continuing Education ATTN: Sherrie Lock Student Union East Room West U.S. Hwy. 98, Panama City, FL slock@gulfcoast.edu (850) phone / (850) fax (dd/mm/yy) Time (hours/minutes) Type of injection(s) observed/demonstrated (dd/mm/yy) Time (hours/minutes) Type of injection(s) observed/demonstrated TOTAL TIME: Signature of Supervising Dentist of Completion
Dental Hygienist Scope of Practice To Include Administration of Local Anesthesia and Nitrous Oxide
Dental Hygienist Scope of Practice To Include Administration of Local Anesthesia and Nitrous Oxide Public Act No. 423 went into effect on June 5, 2002 and Public Act No. 30 went into effect on March 22,
More informationMIAMI DADE COLLEGE MEDICAL CAMPUS SCHOOL OF HEALTH SCIENCES EMERGENCY MEDICAL SERVICES Emergency Medical Technician (EMT) Application Packet
MEDICAL CAMPUS SCHOOL OF HEALTH SCIENCES EMERGENCY MEDICAL SERVICES Emergency Medical Technician (EMT) Application Packet Student Name (Print) Student Number The information in this 8 - page packet must
More informationSurgical Technician Program Application
Contra Costa Medical Career College 4051 Lone Tree Way, Suite C Antioch Ca 94531 Phone (925) 757-2900 Fax( 925) 757-5873 Surgical Technician Program Application Date Name (First, MI, Last) Address City,
More informationNURSING ASSISTANT PROGRAM INFORMATION AND
CENTRAL ARIZONA COLLEGE SKILLS CENTER HEALTHCARE PROGRAMS NURSING ASSISTANT PROGRAM INFORMATION AND ENROLLMENT PACKET One-Stop / Skills Center Job Skills Training Program SkillsCenter6/2008 Central Arizona
More informationGREETINGS FROM THE VERDE VALLEY SCHOOL HEALTH CENTER
GREETINGS FROM THE VERDE VALLEY SCHOOL HEALTH CENTER Dear Parent, Verde Valley School is committed to providing your child with the best possible care. It is with this goal in mind that the school requires
More informationADMINISTRATION OF LOCAL ANESTHETIC AGENTS BY DENTAL HYGIENISTS
DEPARTMENT OF THE NAVY BUREAU OF MEDICINE AND SURGER Y 2300 E STREET NW WASHINGTON DC 20372 5300 IN REPL." REH,R TO BUMEDINST 6600.17 BUMED-M3/5 BUMED INSTRUCTION 6600.17 From: Chief, Bureau of Medicine
More informationMEDICAL ASSISTING CERTIFICATE PROGRAM APPLICATION PACKET
MEDICAL ASSISTING CERTIFICATE PROGRAM APPLICATION PACKET Application Instructions Thank you for your interest in the Medical Assisting Certificate Program at the College of Continuing and Professional
More informationMIAMI DADE COLLEGE MEDICAL CAMPUS SCHOOL OF HEALTH SCIENCES EMERGENCY MEDICAL SERVICES Emergency Medical Technician (EMT) Application Packet
SCHOOL O HEALTH SCIENCES EMERGENCY MEDICAL SERVICES Emergency Medical Technician (EMT) Application Packet Student Name (Print) Student Number The information in this 8 - page packet must be completed to
More informationIS A CAREER AS A DENTAL HYGIENIST FOR YOU? Here are some answers to your questions!
IS A CAREER AS A DENTAL HYGIENIST FOR YOU? Here are some answers to your questions! FACTS YOU SHOULD KNOW Infectious disease transmission can pose significant concerns in the dental workplace All dental
More informationStudent Health Form Howard Community College Health Science Division
Name: HCC ID#: Student Health Form Howard Community College Health Science Division Please complete all sections of this form and return to Health Sciences Division Office HS 236 HEALTH FORM DEADLINES
More informationSKILL CENTER PROGRAMMING NURSING ASSISTANT PROGRAM REGISTRATION PACKET AND INFORMATION
SKILL CENTER PROGRAMMING NURSING ASSISTANT PROGRAM REGISTRATION PACKET AND INFORMATION Classes are offered at the following location: Casa Grande Center 1015 E. Florence Blvd, A100 Casa Grande, AZ 85122
More informationWe offer two schedules for our RN Refresher program:
Dear Prospective Student, Thank you for your interest. Attached you will find an application to participate in an innovative R.N. Refresher course sponsored jointly by Molloy College Continuing Education
More informationACC Nurse Refresher Course Continuing Education Department
ACC Nurse Refresher Course Continuing Education Department Alvin Community College 3110 Mustang Road Alvin, TX 77511 Ph: 281-756-3796 Fax: 281-756-3952 Dear Prospective Nursing Refresher Student, Alvin
More informationDear Prospective Certified Nursing Assistant Student:
Dear Prospective Student: We are pleased to welcome you to Alvin Community College and look forward to assisting you in starting your career goals in healthcare. As a, you will have many doors of opportunity
More informationDental Hygienist Renewal Application
Vermont Secretary of State Attn: Renewal Clerk Office of Professional Regulation 89 Main St. 3 rd Floor Montpelier, VT 05620-3420 Dental Hygienist Renewal Application Board of Dental Examiners Renewal
More informationPROGRAM PARTICIPANT (STUDENT PARTICIPANT OR FACULTY PARTICIPANT) SIGNS:
PROGRAM PARTICIPANT (STUDENT PARTICIPANT OR FACULTY PARTICIPANT) SIGNS: EXHIBIT A STATEMENT OF RESPONSIBILITY For and in consideration of the benefit provided the undersigned in the form of experience
More informationNEBRASKA DEPARTMENT OF HEALTH PROFESSIONAL AND OCCUPATIONAL LICENSES REGULATIONS
TITLE 172 - NEBRASKA DEPARTMENT OF HEALTH PROFESSIONAL AND OCCUPATIONAL LICENSES REGULATIONS CHAPTER 57 - REGULATIONS GOVERNING THE PRACTICE OF DENTAL HYGIENISTS APPROVED TO ADMINISTER LOCAL ANESTHESIA
More informationCHAPTER 43-20 DENTAL HYGIENISTS AND ASSISTANTS
43-20-01. Name of chapter. CHAPTER 43-20 DENTAL HYGIENISTS AND ASSISTANTS 43-20-01.1. Definitions. As used in this chapter and chapter 43-28, unless the context otherwise requires: 1. "Dental assistant"
More information2016 Dental Hygiene Admissions Criteria
2016 Dental Hygiene Admissions Criteria The Faculty and Staff of the Manhattan Area Technical College Dental Hygiene Program appreciate your interest in our program. The following documents will guide
More informationLaurie Womble. Dear Applicant:
Dear Applicant: Thank you for your interest in the Gulf Coast Community College Dental Assisting Program! The dental faculty and staff are very proud of the exceptional program and state of the art dental
More informationDENTAL ASSISTANT PROGRAM PROGRAM REQUIREMENT PACKET
DENTAL ASSISTANT PROGRAM PROGRAM REQUIREMENT PACKET 4500 Steilacoom Blvd SW Lakewood, WA 98499 www.cptc.edu DENTAL ASSISTANT APPLICATION PLEASE REFER TO THESE PAGES FOR INFORMATION REGARDING THE ADMISSION
More informationNON-TRADITIONAL VOLUNTEER APPLICATION PACKET
CATEGORIES Non-Traditional Volunteers: Internships Practicums Research Observation of clinical activities Students NON-TRADITIONAL VOLUNTEER APPLICATION PACKET Human Resources Department 3601 A Street
More informationHow To Get A License To Be A Pharmacist In Florida
DIVISION OF MEDICAL QUALITY ASSURANCE BOARD OF PHARMACY 4052 BALD CYPRESS WAY, BIN #C-04 TALLAHASSEE, FLORIDA 32399-3254 (850) 245-4292 IMMUNIZATION ADMINISTRATION CERTIFICATION APPLICATION AND INFORMATION
More informationClinical Affiliation Agreement Marquette University Program in Physical Therapy. Address City, State, Zipcode
Clinical Affiliation Agreement Marquette University Program in Physical Therapy Corporate Address: Facility s Name Address City, State, Zipcode This Agreement is made by and between Marquette University,
More informationHow To Get A Rotation At A Hospital
Allied Health Students Thank you for your interest in student rotation. Rotations may be available to qualified students based on current agreements with your school. To apply for a rotation, you must
More informationSanta Cruz County Regional Occupational Program 399 Encinal Street Santa Cruz, CA 95060 831-466- 5760 Mark Hodges, Director
Santa Cruz County Regional Occupational Program 399 Encinal Street Santa Cruz, CA 95060 831-466- 5760 Mark Hodges, Director Jim Howes, Assistant Director ROP Mediccal l Assssi isstti ing - - Generral l
More informationMaster s Nursing Program Spring 2017 Application Packet For:
Master s Nursing Program Spring 2017 Application Packet For: Nurse Education Nurse Administrator Nurse Educator + FNP Certificate Nurse Administrator + FNP Certificate Family Nurse Practitioner Updated
More informationOAKLAND UNIVERSITY SCHOOL OF NURSING Instructions for completing the Clinical Health Requirements
OAKLAND UNIVERSITY SCHOOL OF NURSING Instructions for completing the Clinical Health Requirements Submission Deadline Dates for NEW Accelerated Second Degree and NEW Basic-BSN students Semester Admitted
More informationHOWARD COLLEGE ACCELERATED ASSOCIATE DEGREE NURSING PROGRAM (FOR LICENSED VOCATIONAL NURSES) ACCELERATED ADN ADMISSION REQUIREMENTS
HOWARD COLLEGE ACCELERATED ASSOCIATE DEGREE NURSING PROGRAM (FOR LICENSED VOCATIONAL NURSES) ACCELERATED ADN ADMISSION REQUIREMENTS Prior to actual admission into the Accelerated Associate Degree Nursing
More informationDelaware County Community College Allied Health, Emergency Services, & Nursing Nursing Program Medical Requirements
Allied Health, Emergency Services, & Nursing Nursing Program Medical Requirements ******All Forms Due by the First Monday in July***** Program Requirements Matriculation into the Nursing Program and most
More informationCNA CERTIFICATE PROGRAM APPLICATION PACKET
CNA CERTIFICATE PROGRAM APPLICATION PACKET Application Instructions Thank you for your interest in the Certified Nursing Assistant Certificate Program at the College of Continuing and Professional Education
More informationApplication for Coverage Professional & Business Liability Insurance
Application for Coverage Professional & Business Liability Insurance Please type or print Please read this before filling out your application for Professional & Business Liability insurance. You warrant
More informationCOMPUTED TOMOGRAPHY CERTIFICATE PROGRAM
1 School of Health Professions COMPUTED TOMOGRAPHY CERTIFICATE PROGRAM APPLICATION PACKET University System of Georgia An Affirmative Action/Equal Opportunity Institution 2 Dear Applicant, Thank you for
More informationDENTAL ASSISTANT PROGRAM PROGRAM REQUIREMENT PACKET
DENTAL ASSISTANT PROGRAM PROGRAM REQUIREMENT PACKET 4500 Steilacoom Blvd SW Lakewood, WA 98499 www.cptc.edu DENTAL ASSISTANT APPLICATION PLEASE REFER TO THESE PAGES FOR INFORMATION REGARDING THE ADMISSION
More informationHealth Careers and Nursing Immunization and Health Requirement Completion Guide
Health Careers and Nursing Immunization and Health Requirement Completion Guide Table of Contents OVERVIEW... 2 TITERS AND IMMUNIZATIONS... 2 MMR Titer (Measles, Mumps, Rubella)... 2 Varicella (Chicken
More informationRADIOLOGIC TECHNOLOGY Uvalde Campus
Purpose RADIOLOGIC TECHNOLOGY Uvalde Campus The purpose of the Radiologic Technology program is to provide a quality education in Radiologic Technology and to prepare graduates to perform competently and
More informationNursing Assistant I Admission Requirements
Nursing Assistant I Admission Requirements 1. High School Diploma, GED or College Transcripts 2. Driver s License or State ID 3. Social Security Card 4. Physical Examination 5. Criminal Background Check
More informationPlease read this entire packet carefully
DENTAL HYGIENE APPLICATION AND INFORMATION PACKET FOR FALL 2016 Dental Programs 3400 Highway 95, Bullhead City, AZ 86442 APPLICATION SUBMISSION INFORMATION... 2 IMPORTANT REMINDERS... 2 SCHEDULE... 2 REQUIREMENTS
More informationHow To Get A Degree In Radiologic Technology
CENTRAL ARIZONA COLLEGE RADIOLOGIC TECHNOLOGY PROGRAM ASSOCIATE IN APPLIED SCIENCE DEGREE INFORMATION AND ADMISSIONS PACKET Superstition Mountain Campus Radiologic Technology Radiologic Technology is a
More informationSTUDENTS ARE RESPONSIBLE FOR THEIR OWN HEALTH INSURANCE
Page 1 of 4 Date: Part A RN Student Reapplication to Program NORTH ARKANSAS COLLEGE Department of Nursing & Allied Health Programs Application for Admission LPN-RN-Associate Degree (AAS) Program Demographic
More informationA LLIED DENTAL EDUCATION
Shrp.rutgers.edu/admissions School of Health Related Professions Department of Allied Dental Education ALLIED DENTAL CONCENTRATION Bachelor of Science in Health Sciences Now is the time to expand your
More informationINSTRUCTIONS & REQUIREMENTS FOR CLINICAL PRACTICA
2014 UMass Amherst College of Nursing INSTRUCTIONS & REQUIREMENTS FOR CLINICAL PRACTICA The requirements and guidelines for finding a clinical practice site June 24, 2014 Dear Students, This is a reminder
More informationWELCOME TO THE BACHELOR OF SCIENCE IN NURSING ORIENTATION
WELCOME TO THE BACHELOR OF SCIENCE IN NURSING ORIENTATION SUMMER 2015 RN - BSN ORIENTATION SUMMER 2015 TO: RE: RN-BSN STUDENTS IMPORTANT INFORMATION & DATES Please complete and submit the information noted
More informationCertified Nurse s Aide (CNA) is considered a pre requisite. You must be a CNA with a current license number.
HOWARD COLLEGE ASSOCIATE DEGREE NURSING (RN) PROGRAM ASSOCIATE DEGREE NURSING ADMISSION REQUIREMENTS Prior to actual admission into the Associate Degree (RN) Nursing Program, applicant must have successfully
More informationAdmission Requirements for Dental Assistant Program
Dental Assisting 604 Barnette St. Fairbanks, Alaska 99701 907.455.2805 PH 907.455.2865 FAX www.ctc.uaf.edu Admission Requirements for Dental Assistant Program 1. Be admitted to University of Alaska Fairbanks
More informationDear Applicant: PROGRAM.APP\PTA APPLICATION 8/14 (1)
Dear Applicant: The process for applying to the Physical Therapist Assistant (PTA) Program at Southern Illinois University Carbondale (SIUC) consists of the following steps: 1. Admission into the University
More informationEmail: info@surgicalskillstraining.com Web: www.surgicalskillstraining.com
Email: info@surgicalskillstraining.com Web: www.surgicalskillstraining.com 1945 Scottsville RD, B-2, PMB 116 - Bowling Green, KY 42104-5817 KLC-Kentucky Limited Liability Company Program Catalog The Surgical
More informationCentral Carolina Dental Center Phone: (919) 777-7780 Dental Hygiene Program Fax: (919) 777-7788 900 S. Vance Street; Suite 220 Sanford, NC 27330
Central Carolina Dental Center Phone: (919) 777-7780 Dental Hygiene Program Fax: (919) 777-7788 900 S. Vance Street; Suite 220 Sanford, NC 27330 Please Print All Information: Name of Patient: Sex: Male
More informationGhazvini Center for Healthcare Education 1528 Surgeons Drive Tallahassee, Florida 32308-4631 850.558.4500 phone
Ghazvini Center for Healthcare Education 1528 Surgeons Drive Tallahassee, Florida 32308-4631 850.558.4500 phone Nurse Assistant Program (HCP0122) Program Code 5024 120 hours of instruction Cost approximately
More informationWashburn Tech Surgical Technology Program - A Review
2016-2017 Admissions Packet Dear Prospective Surgical Technology Student, Congratulations on your decision to pursue the Surgical Technology Program at Washburn Tech. This packet will help guide you through
More informationUniversity of Dubuque Master in Physician Assistant Studies Student Clinical Rotation Guide
University of Dubuque Master in Physician Assistant Studies Student Clinical Rotation Guide 2017 2018 Contents General Policies and Procedures... 3 Clinical Rotation Requirements... 3 Immunizations...
More informationCOMPUTED TOMOGRAPHY CERTIFICATE PROGRAM
1 Health Sciences Division COMPUTED TOMOGRAPHY CERTIFICATE PROGRAM APPLICATION PACKET Revised July 2014 2 University System of Georgia! An Affirmative Action/Equal Opportunity Institution DARTON STATE
More informationDental Hygiene Program
Dental Hygiene Program Information and Application 3300 Century Avenue North White Bear Lake, Minnesota 55110 651.773.1700 century.edu Century College is an equal opportunity, affirmative action employer
More informationCONTINUING NURSING STUDIES RE-ENTRY PROGRAM FOR REGISTERED NURSES
CONTINUING NURSING STUDIES RE-ENTRY PROGRAM FOR REGISTERED NURSES REGISTRATION INFORMATION UPDATED OCTOBER 24, 2014 1 Introduction Welcome to Continuing Nursing Studies. The Re-Entry Program for Registered
More informationApex Dental Assisting School 120 West Cache Valley Blvd Suite 200 Logan, UT 84341 (435)753-7563 Phone * (435)753-0886 Fax
Facilities is located at the dental office of Dr. LeGrand Bingham at 120 West Cache Valley Blvd. Each student will be using the equipment and supplies at this location, pertaining to the field of dentistry.
More informationOregon Coast Community College Medical Assistant Program Application 2015-2016 Academic Year Deadline: December 4, 2015
Oregon Coast Community College Medical Assistant Program Application 2015-2016 Academic Year Deadline: December 4, 2015 Program Description The Oregon Coast Community College Medical Assistant Program
More information- - - - - - - - Medical Assisting Application Fee Form
Medical Assisting Application Fee Form You must pay two non-refundable fees in order to apply to the Medical Assisting Program, $25.00 application fee and $10.00 Washington State Patrol Background check
More informationTMCC NURSING PROGRAM APPLICATION FOR 2015-2016 FALL ADMISSION
Nursing students are candidates selected for admission into the nursing program of study. The application process for admission into the Associate of Applied Science Practical Nursing Program must be completed
More information2016-2017 Catalog SPECIALIZED ADMISSIONS PROGRAM INFORMATION GUIDE FOR DENTAL HYGIENE ASSOCIATE OF APPLIED SCIENCE (AAS-DHYG)
PROGRAM CONTACT INFORMATION 2016-2017 Catalog SPECIALIZED ADMISSIONS PROGRAM INFORMATION GUIDE FOR DENTAL HYGIENE ASSOCIATE OF APPLIED SCIENCE (AAS-DHYG) Program Coordinator: Elia M. Mendez, RDH, M.Ed.
More informationAmbassador Application
Ambassador Application Dear Applicant, Thank you for your interest in Dallas Medical Center s Ambassador Program! Your willingness to invest a few hours each week is greatly appreciated. I believe you
More informationPierpont Community & Technical College School of Health Careers Practical Nursing Program
Pierpont Community & Technical College School of Health Careers Practical Nursing Program ADMISSION PROCESS 1. Complete and submit Pierpont Community & Technical College application including: a. Submit
More informationVisit the book store and pick up your textbook, Administering Medications.
Dear Certified Medicine Aide Student, We are pleased to welcome you to our Certified Medicine Aide (CMA) course at Hagerstown Community College. In order to have a successful experience you will need to
More informationMEDICAL ASSISTANT PROGRAM Application and Information Packet HEALTH PROFESSIONS
Updated 01/07/2015 MEDICAL ASSISTANT PROGRAM Application and Information Packet HEALTH PROFESSIONS DEADLINE: August 7, 2015 (For fall semester) November 20, 2015 (For spring semester) 1 Allied Health Program
More informationTrinity Washington University School of Nursing and Health Professions Nursing Program Application Packet Checklist Spring Semester, 2013
Trinity Washington University School of Nursing and Health Professions Nursing Program Application Packet Checklist Spring Semester, 2013 Please make an appointment to meet with your academic advisor to
More informationLPN to ADN Online Option Admission Information & Requirements. 2. Hold a current unrestricted LPN license in North Carolina (or compact state).
LPN to ADN Online Option Admission Information & Requirements The LPN to ADN option is a unique two semester online/hybrid option which includes a clinical component. Although primary instruction will
More informationAnthem Career College Students at the Nashville and Memphis Locations
RICHARD G. RHODA Executive Director STATE OF TENNESSEE HIGHER EDUCATION COMMISSION PARKWAY TOWERS, SUITE 1900 NASHVILLE, TENNESSEE 37243-0830 (615) 741-3605 FAX: (615) 741-6230 BILL HASLAM Governor To:
More informationProgram Specific Information Packet DENTAL HYGIENE (DEH)
Sinclair Community College 444 West Third Street Dayton, Ohio 45402 Program Specific Information Packet DENTAL HYGIENE (DEH) Building 4, Room 4332 (937) 512-2779 (800) 315-3000 This packet contains the
More informationDear Dental Assistant Applicant,
Dental Assistant 254-867-4864 Fax: 254-867-2239 3801 Campus Dr. I Waco, TX 76705 www.tstc.edu Dear Dental Assistant Applicant, Welcome, we are very proud of the excellent Dental Assistant Program offered
More informationMEDICAL ASSISTANT. programs offered. Associate of Applied Science Degree
Associate of Applied Science Degree The Midstate College Associate of Applied Science Degree in the Medical Assistant Program is accredited by the Commission on Accreditation of Allied Health Education
More informationUniversity Transfer. Presented by: The Counseling Center of Gulf Coast State College
University Transfer Presented by: The Counseling Center of Gulf Coast State College College Terms Associate in Applied Science (AAS) Degree - A degree to prepare students to enter into employment with
More informationEmergency Medical Technician
Emergency Medical Technician The Emergency Medical Technician course provides an introduction to emergency medical care. Training modules include medical-legal, roles and responsibilities of the EMT, documentation
More informationSchool of Behavioral & Health Sciences Athletic Training Program Bachelor of Science
School of Behavioral & Health Sciences Athletic Training Program Bachelor of Science Program Coordinator: H. Hess The King University Athletic Training Program is designed to provide students with the
More informationSouth Arkansas Health Care Opportunity South Arkansas Community College Health Sciences Program Application
South Arkansas Health Care Opportunity South Arkansas Community College Health Sciences Program Application Phlebotomy/EKG Admission to South Arkansas Community College and the above listed Health Science
More informationPharmacy Technician Program
Pharmacy Technician Program T ASU-Beebe Advanced Technology and Allied Health www.asub.edu Program 72.238.6950 www.richlandcollege.edu/hp Health Professions Division ASU-Beebe Pharmacy Technician Program
More informationBScN Scholar Practitioner Program
BScN Scholar Practitioner Program STUDENT NAME: STUDENT NUMBER: DATE OF BIRTH: DATE: Student Authorization: I give my consent that the information on this form may be shared as required with Nipissing
More informationMAEB061615 MEDICAL ASSISTANT EXTERNSHIP BOOKLET
MEDICAL ASSISTANT EXTERNSHIP BOOKLET Externship Booklet The Externship Booklet includes important guidelines and documents for students to successfully complete their externship. Students are required
More informationProgram Coordinator: Andrea Ceron Phone #: 915-831-4139
PROGRAM CONTACT INFORMATION 2015-2016 Catalog SPECIALIZED ADMISSIONS PROGRAM INFORMATION GUIDE FOR MEDICAL ASSISTING ASSOCIATE OF APPLIED SCIENCE (AAS-MDCA) AND CERTIFICATE OF COMPLETION (C2-MDCC) Program
More informationMandatory Orientation for Fall 2016 Student must attend ONE: TBA (see website for dates www.sanjac.edu/pharmtech )
Pharmacy Technician Program San Jacinto College 2016-2017 Dear Prospective Student: Thank you for your interest in the Pharmacy Technician Program at San Jacinto College North. To give an overview of what
More informationPractical Nursing Program Information for Applicants
Practical Nursing Program Information for Applicants The application deadline is May 15, 2015 at noon. The Practical Nursing Program at ASUMH is designed to prepare the student to become a Licensed Practical
More informationHealth Sciences Programs (General Procedures)
Health Sciences Programs (General Procedures) Associate Degree and Diploma Health Science Programs (Clinical Laboratory Technology, Dental Hygiene, Radiologic Technology, Registered Nursing, Medical Assisting,
More informationDear Applicant: Sincerely, Grant Wilson Surgical Technology Program Director Calhoun Community College
Dear Applicant: Thank you for your interest in the surgical technology program. Please complete your application and return it to the Allied Health Department on the third floor of the Health Sciences
More informationOhio State Dental Board
Ohio State Dental Board 77 South High Street, 18th Floor Columbus, Ohio 43215-6135 Phone #: 614/466-2580 Fax #: 614/752-8995 www.dental.ohio.gov Dear EFDA Applicant: This application packet contains the
More informationPractical Nursing Diploma Program
Practical Nursing Diploma Program The completion of the Health Care Assistant- Health Care Technician option is required for prospective students seeking admission into the Practical Nursing diploma program
More informationHUNTER COLLEGE OF THE CITY UNIVERSITY OF NEW YORK HUNTER-BELLEVUE SCHOOL OF NURSING HEALTH REQUIREMENTS AND CLINICAL PRACTICE CLEARANCE
HUNTER COLLEGE OF THE CITY UNIVERSITY OF NEW YORK HUNTER-BELLEVUE SCHOOL OF NURSING HEALTH REQUIREMENTS AND CLINICAL PRACTICE CLEARANCE All undergraduate students entering clinical courses are required
More informationAPPLICATION FOR A TEACHER S LICENSE - DENTISTRY OR DENTAL HYGIENE
Maryland State Board of Dental Examiners Spring Grove Hospital Center Benjamin Rush Building 55 Wade Avenue Catonsville, Maryland 21228 (410) 402-8510 APPLICATION FOR A TEACHER S LICENSE - DENTISTRY OR
More informationDear Nursing Student,
Dear Nursing Student, Again, congratulations on being accepted to the nursing program on the Tyler campus. The purpose of this packet is to share information regarding matters you need to take care of
More informationMASTER OF SCIENCE IN NURSING
MASTER OF SCIENCE IN SCHOOL OF Available on the Jackson, Hendersonville, and Germantown Campuses Mission Statement To prepare graduates for advanced professional nursing practice with specific functional
More informationTusculum College Athletic Training Educational Program Clinical Education Affiliation Agreement
Tusculum College Athletic Training Educational Program Clinical Education Affiliation Agreement This Agreement, made this day of, 20, by and between Tusculum College (hereinafter referred to as the INSTITUTION)
More informationApplication for Claims-Made Coverage Professional & Dental Business Liability Insurance
Please type or print Please read this before filling out your application for Professional & Business Liability insurance. You warrant and represent that the following statements are yours and that you
More informationPharmacy Technician Student Handbook
2014 Pharmacy Technician Student Handbook Northern Virginia Community College Workforce Development 1/1/2014 Program Philosophy The Program is committed to serving students and the pharmaceutical community
More informationCherokee Nation W. W. Hastings Hospital Surgical Technology Program Application Booklet
Cherokee Nation W. W. Hastings Hospital Surgical Technology Program Application Booklet Dear Prospective Student: Thank you for your interest in Cherokee Nation W. W. Hastings Hospital Surgical Technology
More informationPlease remember these are minimum requirements and do not guarantee acceptance into the program.
Dear Prospective Dental Hygiene Student: Thank you for your interest in the Dental Hygiene Program at Carbondale. The Dental Hygiene Program is nationally recognized for both quality of faculty and graduates.
More informationCHAPTER 379a DENTAL HYGIENISTS
CHAPTER 379a DENTAL HYGIENISTS Sec. 20-126h. License. No person shall engage in the practice of dental hygiene unless he has obtained a dental or dental hygiene license issued by the department of public
More informationGhazvini Center for Healthcare Education 1528 Surgeons Drive Tallahassee, Florida 32308-4631 850.558.4500 phone 850.558.4510 fax
Ghazvini Center for Healthcare Education 1528 Surgeons Drive Tallahassee, Florida 32308-4631 850.558.4500 phone 850.558.4510 fax Nurse Assistant Program (HCP0122) 120 hours of instruction $312.00 (in-state
More informationRN Refresher Program Information Packet 2015-2016
MESA COMMUNITY COLLEGE RN Refresher Program Information Packet 2015-2016 Mesa Community College Nursing Department, Health & Wellness Building #8 (480) 461-7106 Fax (480) 461-7821 NONDISCRIMINATION POLICY
More informationINSTRUCTIONS & REQUIREMENTS FOR CLINICAL PRACTICA
2015 UMass - Amherst College of Nursing INSTRUCTIONS & REQUIREMENTS FOR CLINICAL PRACTICA The requirements and guidelines for finding a clinical practice site July 1, 2015 Dear Students, This is a reminder
More informationFLORIDA DEPARTMENT OF HEALTH BOARD OF DENTISTRY
FLORIDA DEPARTMENT OF HEALTH BOARD OF DENTISTRY NOTICE TO ALL APPLICANTS FOR PEDIATRIC CONSCIOUS SEDATION, CONSCIOUS SEDATION AND GENERAL ANESTHESIA PERMITS Please review rule chapter 64B5-14, Anesthesia,
More informationPharmacy Technician Program Application Packet Fall 2016
Enrollment Services 4000 Lancaster DR NE PO Box 14007 Salem, OR 97309 Chemeketa Community College is an equal opportunity, affirmative action, institution Pharmacy Technician Program Application Packet
More informationExplanation of requirements for clinical experiences HFU
Page 1 Explanation of requirements for clinical experiences HFU Two Step TB screening Explanation of Required Immunizations and Health Requirements All nursing students are required to have an initial
More informationContinuing Education Allied Health Programs Certified Nurse Aide (CNA) - Student Requirements:
Certified Nurse Aide (CNA) - Student Requirements: STAFF VERIFICATION: DATE: COMMENTS: Desired Class Date: _ Session: CEQ Name: Address: City:, Texas Zip: Phone #: Alt #: Email: Students entering the Certified
More information