Dental Assistant Employee Evaluation Form

Employee Evaluation Form Employee’s Name (Last, First, & Initial) Hayhurst, Lynette Colleague # 0185300 The employee will supervise dental hygiene students during Preventive and Community Projects in the following courses: DHYG 1227 and DHYG 1215.

90- Day Performance Review Form (Manager to Complete) Employee Name:_____ Department: _____ Current Date:_____ Date Based upon the attached evaluation, the overall performance rating of this employee is: _____ (Rating #)

employee perspective? • Ensures all personnel responsibilities (recruitment, staffing, promotion, training, evaluation and discipline) are conducted fairly, meet established procedures, and within established timeframes 90% of the time.

The Dental Assistant is a valuable member of the dental team offering a wide variety of clinical skills and this was the Commission’s sixth site evaluation of the Dental Assisting Program and fourth site evaluation of any medical, dental,

Hygienist, assistant, lab technician, janitor) objective product evaluation by this dental o ffice, 5. Information provided to healthcare providers. (See blank Employee Medical Record form in the Records section of this manual)

Dental Assistant Radiographer Certificate – RI or employee dentist, the dental hygienist, the certified dental assistant, Infection Control Evaluation Form http://www.dental.ohio.gov/forms/icfform.pdf Other Ohio State Board of Pharmacy

Dental Assistant Supervisor This classification is located at Denver Health Medical Center and is being maintained for promotional purposes. Guidelines are in the form of stated objectives for the section, unit, function, or project.

DENTAL ASSISTANT IN-OFFICE TRAINING CURRICULUM The estimated cost for hiring a new employee in a dental office is $10,000 to $20,000 due to lost production and training time. The cost evaluation tool on which to base initial raises and promotions during review periods.

DENTAL ASSISTANT EMPLOYEE NAME: REPORTS TO: DEPARTMENT: Dental SITE: EMPLOYMENT Utilizes cause for concern form to identify situations that have an impact acknowledge that I have reviewed this performance evaluation.

Course Evaluation Form Hygienist Dental Assistant Office Staff Other Pre-Fellow Fellow Master Scout PLEASE CIRCLE YOUR RESPONSE TO EACH OF THE FOLLOWING: Strongly Disagree Employee, full- or part-time _____ Grant/Research

Dental assistant position Evaluation and feedback form Employee exit interview form.. 74 Staff counselling report sheet

Recipient shall not be an employee of the ADAA Ten Scholarships in the amount of $750.00 each (if financially feasible), will be awarded through an evaluation process, to the highest scoring dental later to the email/mail address listed on the awards nomination form by 11:59