Fillable Dental Hygiene Essential Functions Requirement Sign Off Form (Indian Hills Community College)

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Dental Hygiene Essential Functions Requirement Sign Off Form (Indian Hills Community College)

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Essential Functions Sign O Form
Dental Hygiene Program
I,
have read, understand and accept the essential functions
expected of a Dental Hygiene Student:
I do not need accommodations to perform the essential functions.
I feel the following accommodations are needed for me to perform the essential functions:
Name:
Signature: Date:
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Dental Hygiene Essential Functions Requirement Sign Off Form (Indian Hills Community College)

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Completed 18 July 2020

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