I,................, hereby certify to the Board of Dental Examiners of Nevada that I have obtained at least 20 approved hours of instruction in continuing education during the period July 1,......, through and including June 30,......I also certify to the Board of Dental Examiners of Nevada that I am currently certified in administering cardiopulmonary resuscitation or another medically acceptable means of maintaining basic bodily functions which support life.
Dated this........(day) of.........(month) of .........(year)
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Signature of Dentist
I,................, hereby certify to the Board of Dental Examiners of Nevada that I have obtained at least 18 approved hours of instruction in continuing education during the period July 1,......, through and including June 30,......I also certify to the Board of Dental Examiners of Nevada that I am currently certified in administering cardiopulmonary resuscitation or another medically acceptable means of maintaining basic bodily functions which support life.
Dated this........ (day) of......... (month) of......... (year)
............................................................................
Signature of Dental Therapist
I,................, hereby certify to the Board of Dental Examiners of Nevada that I have obtained at least 15 approved hours of instruction in continuing education during the period July 1,......, through and including June 30,......I also certify to the Board of Dental Examiners of Nevada that I am currently certified in administering cardiopulmonary resuscitation or another medically acceptable means of maintaining basic bodily functions which support life.
Dated this........(day) of.........(month) of .........(year)
...................................................................................
Signature of Dental Hygienist
Nev. Admin. Code § 631.177
NRS 631.190, 631.330, 631.335, 631.342