Dental Hygiene Shadowing Form UT Health San Antonio
The Dental Hygiene Shadowing Form is essential for applicants to the BS Entry program at UT Health San Antonio. This form documents the required observation hours with licensed dental hygienists. Proper completion ensures eligibility for the dental hygiene program.
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How do I fill this out?
To fill out the Dental Hygiene Shadowing Form, start by gathering the required information. Ensure to include details of the practices observed and the hours spent. After gathering this information, carefully complete each section of the form.

How to fill out the Dental Hygiene Shadowing Form UT Health San Antonio?
1
Gather necessary information about your shadowing experience.
2
Complete the applicant and clinic details sections.
3
List the dates and total hours shadowed.
4
Ensure hygienist's signature is obtained.
5
Review the form for accuracy before submission.
Who needs the Dental Hygiene Shadowing Form UT Health San Antonio?
1
Dental hygiene applicants need this form to document their shadowing experience.
2
Educational institutions require this form to verify applicant qualifications.
3
Dental clinics may request this form to confirm hours observed.
4
Oversight bodies may require it for accreditation purposes.
5
Students may need it for their personal records regarding shadowing hours.
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What are the instructions for submitting this form?
To submit the completed Dental Hygiene Shadowing Form, ensure all required fields are accurately filled. The form can be submitted through email to admissions@uthscsa.edu, or faxed to (210) 567-1234. Alternatively, print the form and mail it to the Office of Admissions, 7703 Floyd Curl Drive, San Antonio, TX 78229. Always double-check the submission method for any specific instructions provided by the institution.
What are the important dates for this form in 2024 and 2025?
For applicants, the important dates for submitting the Dental Hygiene Shadowing Form will typically fall within the application cycle for the years 2024 and 2025. Make sure to check with the institution for specific submission deadlines, as they may vary each year.

What is the purpose of this form?
The Dental Hygiene Shadowing Form serves as an essential document for applicants to the dental hygiene program at UT Health San Antonio. It verifies the required observation hours that candidates must complete under licensed dental hygienists. This form plays a crucial role in the admissions process, ensuring that applicants meet the necessary experience criteria.

Tell me about this form and its components and fields line-by-line.

- 1. Name of Applicant: The full name of the applicant filling the form.
- 2. Total Hours Shadowed: The total number of hours spent observing a dental hygienist.
- 3. Name of Clinic: The name of the clinic where the shadowing took place.
- 4. Dates/Hours: Specific dates and hours during which shadowing occurred.
- 5. Address of Clinic: The physical address of the clinic.
- 6. Phone Number: Contact number for the clinic.
- 7. Name of Dental Hygienist Shadowed/Observed: Name of the dental hygienist who was observed.
- 8. Comments about the Applicant: Additional remarks or comments regarding the applicant's shadowing experience.
- 9. Hygienist's Signature: Signature of the dental hygienist confirming the observation.
- 10. Applicant's Signature: Signature of the applicant applying for the program.
- 11. Printed Name: Printed name of the applicant and hygienist.
- 12. Date: Date of the form's completion.
What happens if I fail to submit this form?
Failure to submit the Dental Hygiene Shadowing Form may result in disqualification from the application process. It is crucial to ensure that all required information is accurately completed. Incomplete submissions can delay the review and evaluation of the application.
- Incomplete Information: Missing details can lead to processing issues.
- Verification Delays: Submission delays may affect overall application status.
- Disqualification Risk: Failure to submit may disqualify you from the program.
How do I know when to use this form?

- 1. Applying for Dental Hygiene Program: This form is required during the application process.
- 2. Documenting Shadowing Experience: It records the hours spent observing dental hygienists.
- 3. Verifying Qualifications: Educational institutions use this to verify applicant qualifications.
Frequently Asked Questions
How do I access the Dental Hygiene Shadowing Form?
You can find the Dental Hygiene Shadowing Form on our website under the documents section.
What do I need to fill out the form?
You’ll need details of your shadowing hours, the clinic information, and your signatures.
Can I edit the form after downloading?
Yes, you can edit the form using our PDF editor before downloading.
Is there a specific format for signatures?
You can either draw your signature or upload an image of it.
How do I share the completed form?
You can share it via email or generate a shareable link directly from PrintFriendly.
Can I use this form for shadowing at multiple clinics?
Yes, you can document hours from various clinics using this form.
What if I forget to include all hours?
Make sure to review and add all necessary hours before submission.
Is there a deadline for submitting the form?
Please check with your institution for specific submission deadlines.
What if I need to provide additional comments?
You can use the comments section to provide additional information as needed.
How do I ensure my form is secure?
Use secure methods to download and share your PDF to maintain its confidentiality.
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