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TO:Expanded Function Dental Auxiliary ApplicantsFROM: New Mexico Dental Health Care, Board Administrator×All licensing information provided is public information×Thank you for your interest in certification
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How to fill out toexpanded function dental auxiliary

01
To fill out the expanded function dental auxiliary form, follow these steps:
02
Begin by providing your personal information, such as your name, contact details, and social security number.
03
Specify your current employment status and disclose any relevant dental assisting certifications or licenses you hold.
04
Indicate the type of dental auxiliary function you are seeking to expand, such as dental radiography or coronal polishing.
05
Provide details of your previous dental assisting experience, including the name and location of the dental practice, your job responsibilities, and the duration of your employment.
06
If applicable, include any additional training or coursework you have completed that relates to the desired expanded function.
07
Provide references from dental professionals who can attest to your competency and skills in the field.
08
Review the form for accuracy and completeness before submitting it to the relevant dental board or regulatory agency.
09
If necessary, attach any supporting documents or certificates to validate your qualifications for the expanded function.

Who needs toexpanded function dental auxiliary?

01
The expanded function dental auxiliary form is typically required by dental assistants who wish to enhance their skills and take on additional responsibilities in specific areas of dental practice.
02
This form may be necessary for individuals who want to pursue expanded functions such as dental radiography, dental sealants, orthodontic assisting, or administering nitrous oxide.
03
Dental assistants looking to advance in their careers, increase their earning potential, or meet state or regional requirements for certain expanded functions may need to fill out this form.

What is TO:Expanded Function Dental Auxiliary Applicants Form?

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Template TO:Expanded Function Dental Auxiliary Applicants instructions

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Expanded function dental auxiliaries are dental assistants that have received additional training and certification to perform specific dental procedures.
Dental assistants who have completed the necessary training and certification to perform expanded functions.
To fill out the expanded function dental auxiliary form, the dental assistant must provide their personal information, details of their training and certification, and the specific procedures they are qualified to perform.
The purpose of the expanded function dental auxiliary program is to enhance the range of services that dental assistants can provide, allowing them to take on more responsibility in the dental office.
The form must include the dental assistant's name, certification details, the specific procedures they are qualified to perform, and any additional training they have completed.
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