DOH Form 642-003 Dental Assistant Sealant / Fluoride Varnish Endorsement Form - Washington

DOH Form 642-003 Dental Assistant Sealant / Fluoride Varnish Endorsement Form - Washington

What Is DOH Form 642-003?

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 642-003?
A: DOH Form 642-003 is the Dental Assistant Sealant/Fluoride Varnish Endorsement Form in Washington.

Q: What is the purpose of DOH Form 642-003?
A: The purpose of DOH Form 642-003 is to endorse dental assistants for sealant and fluoride varnish application in Washington.

Q: Who can use DOH Form 642-003?
A: Dental assistants in Washington who want to become endorsed for sealant and fluoride varnish application can use DOH Form 642-003.

Q: Is there a fee for submitting DOH Form 642-003?
A: Yes, there is a fee associated with submitting DOH Form 642-003. Please refer to the fee schedule published by the Washington State Department of Health for details.

Q: What is the processing time for DOH Form 642-003?
A: The processing time for DOH Form 642-003 varies. Please contact the Washington State Department of Health for current processing times.

Q: What if I have questions about DOH Form 642-003?
A: If you have questions about DOH Form 642-003, you can contact the Washington State Department of Health for assistance.

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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 642-003 by clicking the link below or browse more documents and templates provided by the Washington State Department of Health.

Download DOH Form 642-003 Dental Assistant Sealant / Fluoride Varnish Endorsement Form - Washington

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