Clinical Compliance Managed By Student Health Services

Clinical Dental Hygiene

Compliance Fee

  • Paid every semester in March and October
  • See Deadlines page for due dates
  • Receipt needs to be uploaded to your CB account

CPR Certification

  • American Heart Association for BLS Healthcare Providers only(expires every 2 years)
  • Front and back of card uploaded to CB
  • Card must be signed by student

COM-Clinical Orientation Modules

  • Must complete every year
  • See Deadlines page for dates this is to be competed between
  • To be completed online using HealthStream
  • Go to COM/HealthStream for instructions
  • Must upload 4 COM certificates to your CB account

Background Check (one time only)

  • Your Background Check will be purchased through Certified Background
  • You will receive purchase codes through the Clinical Compliance Coordinator
  • Codes will be different for students that are placed and for students that are alternates

Release of Records and Information Form (one time only)

  • Must be filled out with student ID# and birth date
  • Must be signed and dated
  • Must be stamped by the Clinical Compliance Coordinator

Handbook Verification Form (called Acknowledgment of Receipt and Agreement of Cabrillo College Dental Hygiene Student Handbook)

  • Must be signed and dated

DH Student Physical and Non-physical Standards form with the Healthcare Provider Authorization form

  • Must bring to provider when getting physical
  • Must be signed by student

If you are an alternate do not complete the following until you are accepted to enter your program:

  • Background Check
  • Compliance fee
Please see the Deadlines page for the dates the requirements are due

For copies of page for dates this is to be completed here:
Dental Hygiene Department

Additional Important Links: 

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