Dental Hygiene Program Clinical Requirements Packet
Congratulations! By now you have been informed by the Health Sciences Office that you have been accepted to the Fall 2021 Dental Hygiene class or are an alternate for the class. It is now time to proceed with fulfilling the clinical requirements. All documentation for the Clinical Requirements must be submitted to the Health Sciences Office (Room 8204) as a complete packet* in a large envelope by dates indicated in your invitation letter.
All materials submitted become the property of Shasta College and will not be returned to you. We encourage you to make copies of all the forms and materials submitted for your own records.
*Records will not be accepted separately.
A Pre-Enrollment Clinical Requirements checklist is available for you to print and use as a guide in completing all of the processes necessary.
- If you have been accepted into the Fall 2021 class, complete all Steps (A – I) following the directions here, on the checklist and in the associated policies.
- If you have been selected as an alternate to the Fall 2021 class, proceed with Steps A - C and then STOP until directed by the Health Sciences Division. The last steps of the process are time-sensitive and should be completed only when you have been accepted into the class.
DH Pre-Enrollment Packet
Please complete the Dental Hygiene Pre-Enrollment Packet (PDF).
Page 1 Pre-Enrollment Clinical Requirements Packet
As a dental hygiene student, you will be providing service to patients in a clinical setting and as such are required to be currently certified in Basic Life Support with CPR for adults, children, and infants and tested with two-person rescue. To document current CPR certification, present a copy of your CPR card when submitting your packet.
Documentation of flu vaccine for the current flu season – Spring start students only.
Dental Hygiene is a physically demanding profession and you must be prepared to meet the technical standards necessary to physically perform the functions. Upon review of the standards, print the Technical Standards Disclosure Form, initialing each of the areas in which compliance with the standard is possible.
The initial step to completing the criminal background check is to complete the Health Science Program Application for Clinical Practice form. This form discloses to Shasta College (Confidentially) the existence of any criminal issues. While the existence of convictions will not necessarily disqualify you from enrollment, failure to disclose may be considered falsification and will result in the offer of enrollment being rescinded and will be grounds for immediate termination upon discovery at any time during enrollment.
Alternates - STOP!
You only need to complete Steps A – C at this time. Do not complete D – I until directed by the Health Sciences Division.
Accepted Students - CONTINUE
You must complete all Steps A – H. Please complete Steps D – H by required deadlines.
The Tb screening results will be documented on the Immunizations Form and on the 2-Step TB Screening & Questionnaire form.
The required physical examination must be completed within no more than 6 months prior to entering the program. The results of the physical examination must be documented on the Health Data/Physical Exam form. The front page of the Health Data form is to be completed by you and the back page by your healthcare provider.
Information from the Student Data Form will be kept on file while you are enrolled in the program. It is your responsibility to notify the Health Sciences office of any changes in your contact information by filling out the contact information change form available on the Health Sciences website.
- User of Electronic Devices Agreement
- Student Honor Contract
- Photography and Publication Release
- Assumption of Risk and Release
It is important for you to follow the Step-By-Step Instructions for completing the Criminal Background Check and Drug Screening. Proceed with this step ONLY when they have been accepted into the class.
Page 2 - Enrollment Packet
Complete this step according to the timeframe on the packet.
IMPORTANT: Please complete between May 27th and June 12th. If you have submitted a QuantiFERON Gold TB blood test or chest x-ray with your Part 1 Packet, please disregard this step.
Contact Information Change Form
If at any time during the process of preparing for enrollment, you make any changes to your contact information, please notify us immediately.