Profile - ST.0002204 | |
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General Disclaimer: The information posted on the Healthcare Professions Profile Program (HPPP) website was provided by applicants for an original license; applicants for reinstatement or reactivation of an existing license; as well as by those individuals renewing a license. While the Division believes the information to be reliable, human or mechanical error remains a possibility, as does the delay in the posting or updating of information. The Division makes no guarantee as to the accuracy or completeness of the information and the information is not verified by the HPPP staff. The Division will take action to obtain compliance with the requirements to provide accurate and timely information as required by law when information is received that indicates information required by law has not been provided or is not accurate.
Availability Disclaimer:
Malpractice Claims Disclaimer: |
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Name | Bridgette Dawn Dreier |
Credential | ST.0002204 |
HPPP - ST Location of Practice | |||||||||||
Location of Practice |
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Are you currently practicing in the healthcare profession associated with this profile?
For more information about what must be reported, review Director Policy #3.
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Yes |
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HPPP GLOBAL - Location of Practice If Yes | |||||||||||
Location of Practice |
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Add your Practice Locations by clicking the "add" button below. If you already have Practice Locations listed that you need to edit you may click the pencil icon in the "Action" column: You must enter all locations where you practice the field in which you are licensed. |
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HPPP - ST Education and Training | |||||||||||
Education and Training |
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Please select the highest level of education received as it pertains to your profession.
For more information about what must be reported, review Director Policy #3. |
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Associates Degree |
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HPPP - ST Other Licenses | |||||||||||
Other Licenses |
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Have you ever held, or do you currently hold any other licenses in this profession from any other state, country or province?
For more information about what must be reported, review Director Policy #4. |
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No |
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HPPP - ST Business Ownership | |||||||||||
Business Ownership |
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Do you have a current business ownership interest in any healthcare-related business?
For more information about what must be reported, review Director Policy #4. |
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No |
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HPPP - ST Employer | |||||||||||
Employer |
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Do you have an employer in the profession in which you are licensed or are applying for a license?
For more information about what must be reported, review Director Policy #3. |
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No |
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HPPP - ST Employment Contracts | |||||||||||
Employment Contracts |
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Do you have a contract with any business whose mission relates to healthcare services or products where the value is greater than $5000 annually? This does not include contracts with insurance providers. Any contract with a hospital, durable medical equipment company or pharmaceutical company must be reported.
For more information about what must be reported, review Director Policy #4. |
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No |
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HPPP - ST Disciplinary Actions | |||||||||||
Disciplinary Actions |
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Have you ever had public disciplinary action taken against your license by any board or licensing agency in any state or country?
For more information about what must be reported, review Director Policy #5. |
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No |
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HPPP - ST Restrictions and Suspensions | |||||||||||
Restrictions and Suspensions |
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Have you ever entered into any agreement or stipulation to temporarily cease your practice or had a board order issued restricting or suspending your license?
For more information about what must be reported, review Director Policy #5. |
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No |
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HPPP - ST Termination of Employment | |||||||||||
Termination of Employment |
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Have you ever been terminated by an employer for a reason that would be considered a violation of your profession's practice law?
For more information about what must be reported, review Director Policy #5. |
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No |
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HPPP - ST Convictions | |||||||||||
Convictions |
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Since you were issued a license to practice your profession in any state or country, have you had any final criminal conviction(s) or plea arrangement(s) resulting from the commission or alleged commission of a felony or crime of moral turpitude in any jurisdiction?
For more information about what must be reported, review Director Policy #6. |
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No |
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HPPP - ST Optional Narrative | |||||||||||
Optional Narrative |
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Please provide any information regarding awards and/or recognitions you have received, or charity care you have provided that directly relate to your profession. Please be aware that the Director may remove any information that is not pertinent or may be considered inappropriate.
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HPPP - ST Attestation | |||||||||||
Attestation |
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By submitting this Healthcare Professions Profile to the Division of Professions and Occupations you are attesting that:
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Enter today's date: | |||||||||||
03/22/2017 |
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SA/ST - Previous Employers | |||||||||||
Surgical Assistant and Surgical Technologist Database |
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In the last 5 years, have you been employed or contracted as a Surgical Assistant for anyone other than your current employer or contractor? | |||||||||||
No |
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SA/ST - Previous Employers if Yes | |||||||||||
Surgical Assistant and Surgical Technologist Database |
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You must enter all of the following information for each employer below in chronological order. Number each entry starting with 1. and so on:
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SA/ST - Certifications | |||||||||||
Surgical Assistant and Surgical Technologist Database |
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Are you currently certified by a Nationally Accredited Certifying Organization? | |||||||||||
Yes |
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SA/ST - Certifications if Yes | |||||||||||
Surgical Assistant and Surgical Technologist Database |
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Select all Nationally Accredited Certifications as applicable: Only current and active certifications should be included.
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SA/ST - Actions | |||||||||||
Surgical Assistant and Surgical Technologist Database |
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Do you have, or have you ever had, any civil, criminal, or administrative actions related to performing the actions of a Surgical Assistant taken against you in this or any jurisdiction? If you answer yes to this question, you must also notify the Director in writing of any civil, criminal, or administrative actions. | |||||||||||
No |
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SA/ST - Actions if Yes | |||||||||||
Surgical Assistant and Surgical Technologist Database |
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You must enter the year(s) of each Civil, Criminal, or Administrative action below in chronological order: Example: 1997, 2002, 2005 | |||||||||||
SA/ST - Misdemeanors | |||||||||||
Surgical Assistant and Surgical Technologist Database |
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Have you ever been convicted or entered a plea of guilty or nolo contendere to any misdemeanor relating to drugs or alcohol? If yes, enter "year of misdemeanor, US state, jurisdiction | |||||||||||
Yes |
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SA/ST - Misdemeanors if Yes | |||||||||||
Surgical Assistant and Surgical Technologist Database |
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You must enter all of the following information for each misdemeanor below in chronological order. Number each entry starting with 1. and so on:
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2007,CO, Pueblo Courts |
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