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Dental Hygiene Restricted Anesthesia Forms: Form 2 - Verification of Education

  • Section I: Complete this section of the form before sending it to the institution. Be sure to include any fee required by the institution and sign and date item 8.
  • Section II: The Registrar or other appropriate official must complete this section and return the form in a sealed school envelope directly to the Office of the Professions at the address at the end of the form.