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Department of Dental Hygiene Patient Screening/Case Classification STUDENT WORKSHEET- FOR EDUCATIONAL PURPOSES ONLY NOT A PART OF THE OFFICIAL PATIENT RECORD Patient Name Updated 10-12 DATE Last First
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How to fill out faculty signature confirming screening:

01
Obtain a copy of the faculty signature confirming screening form from your institution. This form may be available online or from the administrative office.
02
Carefully read through the instructions provided on the form. Make sure you understand the purpose and requirements of the screening process.
03
Fill in your personal details, such as your name, student ID, and contact information, in the designated fields on the form.
04
Indicate your department or faculty affiliation by selecting the appropriate option or writing it down if required.
05
Provide the date of the screening and any additional information requested, such as the name of the screening provider or organization.
06
Review the form to ensure all sections are completed accurately and thoroughly.
07
Seek the signature of a faculty member or advisor who is authorized to confirm your screening. This may involve scheduling a meeting or reaching out via email to request their signature.
08
Submit the completed form, along with any supporting documents or fees if required, to the specified office or individual. Ensure you retain a copy for your records.

Who needs faculty signature confirming screening?

01
Students who are required by their institution or program to undergo a screening process may need a faculty signature confirming their compliance.
02
This requirement may apply to various academic departments or faculties within the institution, depending on their specific policies and guidelines.
03
The purpose of obtaining the faculty signature is to verify that the student has completed the necessary screening and is eligible to proceed with their studies or any related activities within the institution.
Please note that the specific requirements for faculty signature confirming screening may vary between institutions, programs, or departments. It is advisable to consult the relevant guidelines or contact the administrative office for accurate information pertaining to your situation.
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Faculty signature confirming screening is a document signed by a faculty member confirming that a screening process has been completed.
All faculty members are required to file faculty signature confirming screening.
Faculty members can fill out the form by providing the necessary information and signing it to confirm the completion of the screening process.
The purpose of the faculty signature confirming screening is to ensure that faculty members have undergone the necessary screening process to meet the requirements.
The faculty signature confirming screening form must include the faculty member's name, signature, date of completion, and any relevant screening information.
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