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DENTAL HYGIENIST PROVIDER Enrollment FORM Complete all sections. Sign and return the enrollment form by email, fax or mail to Canadian Dental Hygienists Association Fax No.: 6132247283 or Mail: CDA,

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How to fill out nys dentistrydental hygienist application

01

Step 1: Download the NYS Dentistry/Dental Hygienist Application form from the official website of the New York State Department of Education.

02

Step 2: Read the instructions and requirements carefully before filling out the application.

03

Step 3: Provide your personal information accurately, including your full name, address, contact details, and social security number.

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Step 4: Indicate the type of dental hygienist license you are applying for and provide any required documentation, such as evidence of education and experience.

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Step 5: Fill out the professional education section, including details of your dental hygiene program and graduation date.

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Step 6: Complete the examination section by providing information about any dental hygiene exams you have taken.

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Step 7: If applicable, provide details of any previous licenses or certifications you have held.

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Step 8: Be sure to sign and date the application form.

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Step 9: Gather all required supporting documents, such as transcripts, references, and fees.

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Step 10: Submit the completed application and supporting documents to the address specified on the form or through the online application portal.

Who needs nys dentistrydental hygienist application?

01

Any individual who wants to become a dental hygienist in the state of New York needs to fill out the NYS Dentistry/Dental Hygienist Application.

02

This includes individuals who have completed a dental hygiene program and meet the education and examination requirements set by the New York State Department of Education.

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What is nys dentistrydental hygienist application?

NYS Dentistry/Dental Hygienist Application is a form used to apply for licensure as a dental hygienist in the state of New York.

Who is required to file nys dentistrydental hygienist application?

Any individual seeking to practice as a dental hygienist in New York is required to file the NYS Dentistry/Dental Hygienist Application.

How to fill out nys dentistrydental hygienist application?

The NYS Dentistry/Dental Hygienist Application can be filled out online or submitted in paper form. Applicants must provide personal information, education and training details, and any relevant work experience.

What is the purpose of nys dentistrydental hygienist application?

The purpose of the NYS Dentistry/Dental Hygienist Application is to ensure that individuals meet the qualifications and requirements set forth by the New York State Board of Dentistry to practice as dental hygienists.

What information must be reported on nys dentistrydental hygienist application?

Applicants must report their personal information, educational background, training and work experience, as well as disclose any prior disciplinary actions or criminal history.

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