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This version of the form is not currently in use and is provided for reference only. Download this version of
Form 1090
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Form 1090 Oral Evaluation and Fluoride Varnish Certification Application - Texas
What Is Form 1090?
This is a legal form that was released by the Texas Health and Human Services - a government authority operating within Texas. As of today, no separate filing guidelines for the form are provided by the issuing department.
FAQ
Q: What is Form 1090 Oral Evaluation and Fluoride Varnish Certification Application?
A: Form 1090 is an application used in Texas to apply for certification to perform oral evaluations and apply fluoride varnish.
Q: Who needs to fill out Form 1090?
A: Dentists and dental hygienists in Texas who want to become certified to perform oral evaluations and apply fluoride varnish need to fill out this form.
Q: What is an oral evaluation?
A: An oral evaluation is a thorough examination of a patient's oral health, including their teeth, gums, and overall oral hygiene.
Q: What is fluoride varnish?
A: Fluoride varnish is a dental treatment that helps prevent tooth decay by applying a protective coating of fluoride onto the teeth.
Q: Why do I need to fill out this form?
A: By completing Form 1090 and obtaining certification, you can legally perform oral evaluations and apply fluoride varnish in Texas.
Q: What information do I need to provide on Form 1090?
A: The form will require you to provide personal information, employment history, educational qualifications, and details about your training in oral evaluation and fluoride varnish application.
Q: How long does it take to process Form 1090?
A: The processing time for Form 1090 varies, but it typically takes a few weeks to receive a response from the Texas State Board of Dental Examiners.
Q: Can I start performing oral evaluations and applying fluoride varnish without certification?
A: No, it is illegal to perform these procedures without proper certification. Form 1090 is necessary to obtain the required certification in Texas.
Form Details:
- Released on August 1, 2021;
- The latest edition provided by the Texas Health and Human Services;
- Easy to use and ready to print;
- Quick to customize;
- Compatible with most PDF-viewing applications;
- Fill out the form in our online filing application.
Download a fillable version of Form 1090 by clicking the link below or browse more documents and templates provided by the Texas Health and Human Services.
