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This document serves to verify a collaborative agreement between a dentist and a dental hygienist regarding the scope of dental hygiene practice, specifying tasks such as administering anesthesia
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How to fill out expanded practice dental hygiene

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How to fill out Expanded Practice Dental Hygiene Permit Verification of Collaborative Agreement

01
Obtain the Expanded Practice Dental Hygiene Permit Verification form from your state dental board website.
02
Fill out your personal information, including your name, address, and license number.
03
Provide details about your collaborative agreement, including the names of collaborating dentists and the terms of the agreement.
04
Include any additional required documentation, such as proof of your qualifications and certifications.
05
Review the completed form for accuracy and completeness.
06
Sign and date the form.
07
Submit the form according to your state dental board's instructions, which may include mailing it or submitting it online.

Who needs Expanded Practice Dental Hygiene Permit Verification of Collaborative Agreement?

01
Dental hygienists who wish to practice in an expanded capacity under a collaborative agreement with a licensed dentist.
02
Practitioners looking to fulfill state licensing requirements for expanded practice dental hygiene.
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People Also Ask about

115 Collaborative Agreement: Requirements: Dental hygienist must have minimum of 4,000 hours of clinical experience within preceding 5 years. Agreement must be approved by state board of dental examiners. Dentists are limited to 5 or fewer collaborative agreements.
States Where Dental Hygienists Can Practice Fully Independently Colorado. Regulation: No supervision required. Maine. Regulation: Independent Practice Dental Hygienists (IPDH) can work without supervision. California. Washington. Oregon. Nevada. New Mexico. Nebraska.
ing to the World Health Organization (WHO), 'Collaborative practice (CP) happens when multiple health workers from different professional backgrounds work together with patients, families, carers and communities to deliver the highest quality care'.
Every state requires dental hygienists to be licensed; requirements vary by state. In most states, a degree from an accredited dental hygiene program and passing written and clinical examinations are required for licensure. To maintain licensure, hygienists must complete continuing education requirements.
State Regulations for Hygienists Vary State requirements can vary significantly. For example, dental hygiene treatment planning without the supervision of a dentist is allowed in Oregon, Colorado, and in the states of Nevada, Kansas, and California with prior authorization.
How does the Interstate Dental and Dental Hygiene Licensure Compact work? Eligible dentists and dental hygienists can qualify to practice dentistry in multiple states by completing one application within the Compact and receiving separate licenses from each state in which they intend to practice.
No, candidates must pass a national board dental hygiene exam to obtain licensure required in most states. Some states may have different requirements ing to dental hygiene practice acts or state regulations.
Incarceration. In some states, practicing dentistry without a license is a misdemeanor punishable by up to a maximum of a year in jail. In other states, it's a felony that could result in a year or more in prison.

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The Expanded Practice Dental Hygiene Permit Verification of Collaborative Agreement is a documentation process that allows dental hygienists to engage in expanded practice services under a collaborative agreement with a licensed dentist.
Dental hygienists who wish to practice in expanded roles under a collaborative agreement with a dentist are required to file the Expanded Practice Dental Hygiene Permit Verification.
To fill out the Expanded Practice Dental Hygiene Permit Verification, the dental hygienist must complete the required forms, providing information about their education, the collaborating dentist, and the specific services they intend to perform.
The purpose of the Expanded Practice Dental Hygiene Permit Verification is to ensure that dental hygienists are authorized to provide specific expanded services while ensuring adherence to professional regulations and quality of care.
The information that must be reported includes the dental hygienist's credentials, the collaborating dentist's information, details of the collaborative agreement, and the scope of services to be provided.
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