Transcription of APPLICATION FOR EXPANDED DUTY DENTAL ASSISTANT ...
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APPLICATION FOR EXPANDED DUTY DENTAL ASSISTANT ...
EDDA APPLICATION Rev. 6/13/2018 LOUISIANA STATE BOARD OF DENTISTRY BOX 5256 BATON ROUGE, Louisiana 70821-5256 Telephone ~ fax EXPANDED DUTY DENTAL ASSISTANT APPLICATION FOR CERTIFICATION CONFIRMATION INSTRUCTIONS FOR APPLICANT Please complete and sign the following APPLICATION , and return it to the Louisiana State Board of Dentistry along with each of the following: (1) check or money order payable to the Louisiana State Board of Dentistry in the amount of $ (2) copy of your EDDA course verification of participation; (3) copy of proof of completion of approved radiology course; and (4) copy of current CPR certification card. (CPR course must be American Red Cross Professional Rescue Course or American Heart Association Healthcare Provider or ASHI BLS Pro or other previously Louisiana State Board of Dentistry approved equivalent.)
edda application rev. 6/13/2018 * * * notice * * * approved dental assistants radiology courses your radiology course must be one of the approved courses listed below.
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