REQUEST FOR TEMPORARY HYGIENE COVERAGE

1.) Prophy appointments at your practice MUST BE A MINIMUM OF 45 MINUTES (with the exception of pediatric and assisted hygiene).

2.) A lunch break is required for a full day.

3.) Hygiene instruments and PPE (gloves, face shields, masks etc.) will be provided by your practice. I will bring my own loupes, scrubs, and lab coat.

4.) All equipment in hygiene operatory is in good working condition.

5.) Payment is based on an hourly rate and is expected at the end of the day (or on a weekly basis if hiring for multiple days) unless other arrangements are made in advance. You agree to pay the agreed upon hourly rate for all hours worked as discussed and outlined on your contract.

6.) If hired for less than 4 hours, a minimum rate will be charged equivalent to 4 working hours.

7.) Scheduling is subject to change. In the rare event that I can no longer accommodate requested days or hours, I will contact your office as soon as possible.

Contact me with any questions, concerns, or changes to scheduling.

Call or text: (845) 705-7783 | katie@capitalregionrdh.com

Please kindly give 24 hours notice for cancellations.