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DENTAL HYGIENE ACCEPTANCE/DECLINATION FORM I accept my position in the 2017 fall class of the CCC Dental Hygiene Program I decline my position in the 2017 fall class of the CCC Dental Hygiene Program
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How to fill out dental hygiene acceptancedeclination form

01
Read the instructions on the dental hygiene acceptance/declination form.
02
Provide your personal information such as full name, address, and contact details.
03
Indicate your acceptance or declination of dental hygiene services by checking the appropriate box.
04
If declining, specify the reason for declining dental hygiene services.
05
Sign and date the form to acknowledge your acceptance or declination.
06
Submit the completed form to the relevant dental hygiene department or healthcare provider.
07
Keep a copy of the filled-out form for your records.

Who needs dental hygiene acceptancedeclination form?

01
Individuals who have been offered dental hygiene services.
02
Patients who want to accept or decline dental hygiene services.
03
Anyone seeking dental care and requires a formal acknowledgment of acceptance or declination of dental hygiene services.
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The dental hygiene acceptancedeclination form is a document that allows individuals to either accept or decline dental hygiene services.
Individuals who are seeking dental hygiene services are required to file the acceptancedeclination form.
To fill out the form, individuals must indicate whether they accept or decline the dental hygiene services, and provide any necessary personal information.
The purpose of the form is to ensure that individuals have the opportunity to make an informed decision about their dental hygiene services.
The form may require basic personal information such as name, contact information, and insurance details.
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