Clinical Compliance Managed By Student Health Services
Clinical Dental Hygiene
- Paid every semester in March and October
- See Deadlines page for due dates
- Receipt needs to be uploaded to your CB account
- 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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![placeholder](https://www.cabrillo.edu/images/20201004110729/48144295287_1a42a74bc8_c.jpg?ixlib=js-3.8.0&auto=compress%2Cformat&fit=max&crop=faces&q=0&w=200&h=auto&blend=%23fff&blend-mode=normal)
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Department Information
Contact Us
Gina Montoya-Westjohn, RN
Clinical Compliance Coordinator
Office Hours:
by appointment only
Learn More ▼