DOH Form 645-131 Dental Hygiene Sealant / Fluoride Varnish Endorsement Form - Washington

DOH Form 645-131 Dental Hygiene Sealant / Fluoride Varnish Endorsement Form - Washington

What Is DOH Form 645-131?

This is a legal form that was released by the Washington State Department of Health - a government authority operating within Washington. As of today, no separate filing guidelines for the form are provided by the issuing department.

FAQ

Q: What is DOH Form 645-131?
A: DOH Form 645-131 is the Dental Hygiene Sealant/Fluoride Varnish Endorsement Form.

Q: What is the purpose of DOH Form 645-131?
A: The purpose of DOH Form 645-131 is to endorse dental hygienists for the application of sealants and fluoride varnish in Washington.

Q: Who needs to complete DOH Form 645-131?
A: Dental hygienists who wish to apply sealants and fluoride varnish in Washington need to complete DOH Form 645-131.

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Form Details:

  • Released on May 1, 2017;
  • The latest edition provided by the Washington State Department of Health;
  • 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 printable version of DOH Form 645-131 by clicking the link below or browse more documents and templates provided by the Washington State Department of Health.

Download DOH Form 645-131 Dental Hygiene Sealant / Fluoride Varnish Endorsement Form - Washington

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