Click for the Dental Hygienist application checklist by Credential. Who can use LicensE? Dental Hygienist Applications and Forms Academic Dentist Applications and Forms Communication from the Division: The Division of Professions and Occupations' primary communication is via email. Graduate from a dental hygiene school accredited by the Commission on Dental Accreditation. Pass, within 5 years prior to application for licensure, the National Board Examination. SC LLR can assist you with examination information and materials, continuing education requirements and opportunities, licensure applications and renewals, board information, and more. Before you begin your initial, renewal . Who We Are. The Board of Dental Examiners, together with the Secretary of State's Office of Professional Regulation (OPR), work to administer licensing for your profession. The dentist with whom the candidate intends to practice must send a letter verifying employment before the provisional license can be issued. Please use our Application Wizard for guidance on how to apply for initial licensure as a Dental Hygienist.. Dental health professionals must apply for and renew their licenses with the Department of Health. TO: Dental Hygiene Applicants for Licensure by Credentials (Level II) FROM: New Mexico Dental Health Care, Board Administrator Application Fee - $400.00 *All licensing information provided is public information* On behalf of the New Mexico Dental Hygienist Committee, we are pleased that you have chosen New Mexico The Board of Dentistry regulates dentists, dental hygienists and dental technicians. Licensure is the strongest form of regulation used today. Please be sure to include your current email address on your application to receive important information about your application status and process. Jurisprudence Exam $ 85.00. Online Form 1 - Application for Licensure All applicants for licensure must initially submit Form 1 along with the $128 licensure and first registration fee. Dentists, Dental Hygienists, Renewals and Information. Dental Hygienist Now Live: Easier Online License Applications! Application for Licensure after the passage of the ADEX Mannequin Examination. The Arizona State Board of Dental Examiners is a group of 11 volunteers - appointed by the Governor - to serve up to two four-year terms. If you have any questions, please contact us. All renewals must be submitted to the Board office on/before June 30, 2022. 1 . APPLICATIONS ARE VALID FOR ONE YEAR Application for Inactive Status - Posted 1/30/20 (155.09 KB) Anyone applying for an initial license for any of the credentials listed can apply at license.wi.gov . The Board accepts two clinical examinations; ADEX (after . Upon approval of your application for licensure by the Board, you will receive an approval packet to include, but not limited to, the license number . Is at least 18 years of age 2. Thank you. hereby declare that I am the person described in the attached application for licensure. Upon termination of faculty appointment the license is void. NEW LICENSE APPLICATION Page 1 Board of Dentistry Dental Hygiene & Administration of Local Anesthesia & Nitrous Oxide . more than five years ago, and are licensed in another state, you may apply by "N.E.R.B. N/A. In order to apply for a dental hygiene license in the State of Nevada, you must have successfully passed a clinical examination. (temporarily accepted from August 29, 2020 - July 1, 2022 , unless extended by the Board, through hardcopy paper applications only ) Licensure by Clinical Exam Application . Good moral standing On the application, you must include signatures from 2 licensed dentists or dental hygienists who are familiar with your character and quality. Rev. Dentist License Abandoned Application Important Notice and FAQ's Requirements, Instructions & Application Application Fillable Form Verification of License Application Fillable Form Dentist - Temporary Military Spouse License Abandoned Application Important Notice and FAQ's Requirements, Instructions & Application (Temporary license to practice for the duration of the active-duty . Contact. DENTAL HYGIENE LICENSURE BY EXAMINATION Introduction: These instructions are designed to assist you in the application process for dental licensure in Oregon. Every person who desires to practice dental hygiene in Kansas must submit a written application and proof that the applicant is at least 18 years of age, of good moral character, and a graduate of a dental school or college approved by the American Dental Association Commission on Dental Accreditation (CODA) . Dental Professions Online Renewal & Instructions General License Instructions Click Here to Start Your Online Renewal! You must have a neutral facial expression or a natural smile, with both eyes open. B. Due to COVID-19 and for the health and safety of both consumers and staff, walk-in services at the Department of Commerce and Consumer Affairs offices may change at anytime. SC LLR can assist you with examination information and materials, continuing education requirements and opportunities, licensure applications and renewals, board information, and more. The Georgia Board of Dentistry strongly encourages licensees to renew online. If you require a paper renewal application, please contact the office of the Georgia Board of Dentistry: (404) 651-8000. 2. Please check the Professional and Vocational Licensing (PVL) main page at https://cca.hawaii.gov/pvl/ for the most current updated information. . The DC Board of Dentistry regulates the practice of dentistry and dental hygiene in the District. Concord, NH 03301. A minimum score of 90 percent is required. The examination includes questions on legend (prescription) drugs and dental hygiene and dental laws and rules for Washington State. A dental hygienist who is a graduate of an ADA-accredited dental hygiene school and who has completed the who has successfully completed the CRDTS, WREB, ADEX, or SRTA examination is eligible to apply for a dental hygiene license in Iowa on the basis of examination. Application Fees: Examination Application Fees. Monday through Friday, 8AM to 4:45PM EST. Please be advised, all Dental Hygiene Licensees (active, inactive and retired/disabled) (NRS 631.271) may either renew online, if eligible, or download the license renewal application for your particular license status. Dental hygiene laws and rules are located in RCW 18.29 and WAC 246-815. Licensure by N.E.R.B. Dentist Applications Application Process Overview Application for a Dental License (online application) Application for Resident Permit (online application) Approved authorities will follow the dental hygiene licensure status and will be listed on the dental hygiene license. 1. 2. Step 4: Upon approval of an application, a prorated biennial license fee . Mail your completed application, required forms and payment to: Office of Professional Licensure & Certification. (temporarily accepted from August 29, 2020 - July 1, 2022 , unless extended by the Board, through hardcopy paper applications only ) Licensure by Clinical Exam Application . At least 60 days prior to the expiration date of a license, DOPL will mail a renewal notice to the licensee's address of record as provided to DOPL by the individual licensee. Applicants who have been licensed for one (1) year or longer must apply by . Please read instructions before completing this form. Education fee $500.00 . 1. Volunteer Health Care Practitioner Form. Notarized Verification of Lawful Presence Letter(s) of Reference: (Regulation: 39-1 B. 270, or by fax at 518-402-5354.; The State Education Department is not responsible for any fees paid to an outside testing or credentials verification agency. N.E.R.B. Campaign Finance. National Board Exam - Dental Hygienist applicants must have successfully passed the National Board of Dental Hygiene Exam. Emailed applications are no longer being accepted. Initial Application for Foreign Trained Dentists- University of Maryland Dental School Faculty by Examination: . I have carefully read the questions in the attached application and have answered them . DOWNLOAD: Initial Limited Dental - Graduate of Foreign Dental School: DOWNLOAD. LICENSE LOOKUP. Fax - (717) 787-7769. The dentists and dental hygienists do not need to be licensed in Massachusetts Complete the application; submit fees with MasterCard, Visa, Discover, or American Express. This still leaves plenty of time to complete your license renewal prior to its expiration at the end of July. 2/2/2018 Louisiana State Board of Dentistry P.O. The temporary practice permit was instituted under the direction of Governor Inslee, Proclamation 20-59. You must answer all questions and provide all information requested unless otherwise indicated. A California dental license may be obtained by successfully completing one of the following: 1. Board of Dentistry. Maine Board of Dental Practice 143 State House Station Augusta, Maine 04333-0143. Applicants for a Dental Hygienist license (by Examination or Endorsement) are accepted exclusively online through our online system.. 1. Transcripts: An Official Transcript which shows your Dental Hygiene degree and date of graduation (date degree was conferred). Pass, within 5 years prior to application for licensure, a clinical exam administered by: Central Regional Dental Testing Service (CRDTS), 2022 Dental Hygienene Live Patient Component Form. Upon approval of your application for licensure by the Board, you will receive an approval packet to include, but not limited to, the license number . Temporary Practice Permit Policy Statement - The department of health has filed a Policy Statement (PDF) limiting the scope of practice for dental hygienists who hold a Temporary Practice Permit. It makes final licensing decisions and takes disciplinary actions against people who violate licensing laws. Pennsylvania Department of State > Professional Licensing > Boards & Commissions > Dentistry > Dental Hygienists. Individuals who withdraw their licensure application may be entitled to a partial refund.. For the procedure to withdraw your application, contact the Dental Hygiene Unit at opunit3@nysed.gov or by calling 518-474-3817 ext. Application for Dental Hygiene Licensure. New Fee Increases for 2022 Licenses, Permits, and Renewal Fees will be increased beginning July 1, 2022! Credentialing $75.00 Jurisprudence Exam $ 85.00. Dental Examiner Forms & Instructions. Please visit the Board's web page for licensure based on the WREB examination for more information. Public Health Dental Hygiene Practitioner Restricted Faculty License To download a paper application, click on the link below: Initial Applications Volunteer (PDF) Temporary Volunteer License - Dentist Only (PDF) Dental Radiology Personnel (PDF) Other Verification of Opioid Education Form (PDF) EFDA Education Program Approval (PDF) << Previous An official copy of your exam results must accompany your license application or be forwarded directly to HRLA on behalf of the Board. South Carolina Board of Dentistry. Application for Dental Hygienist. The Rhode Island Board of Examiners in Dentistry ensures that all dentists and dental hygienists practicing in Rhode Island meet the requirements for licensure and comply with the applicable conditions and regulations of the law. Dental Hygiene Examination Limited - OAC 4715-9-02 Before You Start: Make sure you have the following items, or the application will not allow you to . Licensee Application Forms Notices Resources and Publications Laws and Rules Board Information Contact Us LicensE, our new, online, self-guided occupational license application platform is now live! Meeting agendas and minutes are . hereby declare that I am the person described in the attached application for licensure. New Dental Assistant Applications. The board meets four times a year and offers a public comment period at each meeting. Please allow 2-4 business days for your license to post in our systems and your license status to update. Requires an applicant to have a current, unsuspended, unrestricted license to practice dental hygiene in another state and to have practiced clinical dental hygiene in one or more states within the last 3 years . Alabama Dental Hygiene Enrollment . Verification (s) Manual Forms. Requirements to obtain a credentialed dental hygiene license are as follows: Have an active license for at least two years that is in good standing and obtained by examination from another state; Graduation from an Accredited Dental Hygiene Program; Passed the National Dental Hygiene Board; From the Quick Start Menu, Under Start a New Application Choose Board Texas State Board of Dental Examiners Choose Application Initial Dental Hygienist by Exam from the left hand side of page. Application to the Dental Board (Board) of California for licensure after successful completion of the WREB examination. Dental and Dental Specialist application fees will be reduced to $150.00. Eligibility guidelines for applicants are detailed below. Alabama Dental Practice Act. . Instructional Materials $450.00 (+ Training video) ADHP Application Fee $300.00 Total $1575.00 . In order to apply for a dental hygiene license in the State of Nevada, you must have successfully passed a clinical examination. The temporary practice permit was instituted under the direction of Governor Inslee, Proclamation 20-59. Step 1: Register for online access as a NEW APPLICANT and provide payment information. There is no application fee for military active duty, retirees, and military active duty spouses. 916-263-1978. Refer to Board Rule 150-3-.01 and Board Rule 150-3-.04 . Licensure by credentials Take the Washington Health Workforce Survey. Volunteer License (PDF) << Previous. Begin Main Content Area. Graduate from a dental hygiene school accredited by the Commission on Dental Accreditation. Step 3: Login as a RETURNING APPLICANT to provide required information and complete your application. License Portal; Permit Application and Order Forms; A minimum score of 90 percent is required. Sincerely, Dental Hygiene Board of California. The application fee for a provisional license is $60.00 (non-refundable). Box 2649. How to Become a Licensed Registered Hygienist in California. Dental hygiene laws and rules are located in RCW 18.29 and WAC 246-815. Take the Washington Health Workforce Survey. TTY: 711. The examination includes questions on legend (prescription) drugs and dental hygiene and dental laws and rules for Washington State. Application and total fees due by April 30, 2022; make cashier's check or money order payable to: Board of Dental Examiners of Alabama Date Application Received: License No: . Dental hygiene LBE application information and instructions 1 Rev. Each section below also contains an instruction checklist for different . RDH Licensure Applications. Dental/Dental Hygiene/Dental Therapy School(s) (Name and Location) From (mm/yy) To (mm/yy) Degree . 1- 22 passport photo Your head must face the camera directly with a full face in view. F Verification of your Washington State Dental Hygiene Drug and Law Jurisprudence Examination. Requirements for Licensure for Dental Hygienists - OAC 4715-9-03 License Application - ORC 4715.21 One clarification - Diploma/Certificates are not acceptable proof of graduation.. License Required to Practice as Dental Hygienist -ORC 4715.20. Dental Hygiene - Licensure . Licensure by Examination is intended for those applicants who have passed their . Pass, within 5 years prior to application for licensure, the National Board Examination. This sheet will answer the majority of your questions. Please complete the Reinstatement application For Dental Hygienist. )Original letters of recommendation completed by licensed dentists or dental hygienist. past five years (If you took the N.E.R.B. Dental Hygiene License; and Dental Assistant. The Board accepts two clinical examinations; ADEX (after . Step 2: Receive email message containing application number and login instructions. All dental licenses expire on May 31 of even years. The Board of Dentistry regulates dentists, dental hygienists and dental technicians. Initial Application for a Teacher's License - Dentistry/ Dental Hygiene. LICENSE VERIFICATION . OTHER STATE DENTAL HYGIENE LICENSES I am (or have been) licensed to practice Dental Hygiene in the following states/jurisdictions: State/Jurisdiction How licensed License Number Date Licensed Years of Practice ARKANSAS STATE BOARD OF DENTAL EXAMINERS 101 East Capitol Avenue, Suite 111 Little Rock, Arkansas 72201 Renew a License. Nitrous Oxide Permit (To obtain a permit, go to Board FAQ ) Nitrous Oxide Verification Form. Dental Hygienist application fees will be reduced to $100.00. Pass, within 5 years prior to application for licensure, a clinical exam administered by: Central Regional Dental Testing Service (CRDTS), Dental Hygienist Application for Licensure; Initial Application to Administer General Anesthesia and/or Sedation; Dentists. Training Permit fee $325.00 . Dental Hygiene Application Checklist There are 3 ways to obtain a license as a dental hygienist in the State of New Jersey. What are the requirements for obtaining dental hygiene licensure by examination? Phone - (717) 783-7162. Statements. Board of Dentistry. Please see the notice below for the fee increases. In accordance with state law, licensed individuals are the only persons who meet the minimum qualifications necessary to practice The transcripts must be submitted directly from your dental hygiene program or the transcript may be in a sealed envelope from the school and submitted with your application. Application Fee $100.00. Failure to accurately complete all required parts of the application will delay its review. The list of licenses available via LicensE is available HERE. Forms of Payment Accepted for Paper Applications: Personal Check, Money Order or Cashier's Check. Date Application Received: License No: . Verification of your Washington State Dental Hygiene Drug and Law Exam. RDH Licensure Applications. Total: $185.00. Licensing By Credentials. The Board evaluates qualifications, administers exams, and recommends standards and procedures. Complaint Process and Form. Dental Hygiene Licensure by Examination - Level II Page 2 of 10 Application fee of $400 (check or money order) payable to the New Mexico Board of Dental Health Care. NOTARIZED APPLICATION: Completed application form accompanied by a fee of $75.00. Veterans - learn about reimbursement for your licensing examination fees. Moreover, the Board issues licenses, receives and reviews complaints, requests investigations, conducts hearings, and issues an annual report. Election Security. Licensing Information. Page Content. Requirements: A completed application and payment of the fee (payment may be made in the form of a check or money order payable to "Treasurer, State of Maine", VISA or MasterCard - see credit card authorization form); I have carefully read the questions in the attached application and have answered them . Initial licensure (non-renewal year; odd years): $125. check a license apply for a dental hygienist license as a dental student apply for a local anesthesia permit as a dental hygienist apply for a mobile dental permit as a dental hygienist request a copy of the dental ethics and jurisprudence exam request an address change, name change, or duplicate license request a certified statement of licensure Name Change/Copy Request-Please note that name changes are not completed between 10-1 and 3-1 (Renewal period) Verification of Licensure Request Form If you have any questions, call HPLA's toll-free Customer Service line at 1-877-258-9217. Harrisburg, PA 17105-2649. Rev. 2022 Renewal Forms . Application fees are non-refundable. 270, or by fax at 518-402-5354.; The State Education Department is not responsible for any fees paid to an outside testing or credentials verification agency. How to Become a Licensed Registered Hygienist in California. Temporary Practice Permit Policy Statement - The department of health has filed a Policy Statement (PDF) limiting the scope of practice for dental hygienists who hold a Temporary Practice Permit. Initial licensure (renewal year; even years): $75 Starting November 1st of a renewal year the application fee is $125. Application fee (2113) $180 . APPLICATION FOR LICENSURE BY CREDENTIALS TO PRACTICE DENTAL HYGIENE APPLICATION MUST BE TYPEWRITTEN This Application must be typewritten and mailed withi n ninety (90) days by ce rtified mail, return receipt requested, to the above address, and all fees must be paid by money order or certified check and are NON-REFUNDABLE. All applications must be MAILED to the Board's mailing address along with your documents and fee. Applications for reinstatement will need to be mailed to: Virginia Board of Dentistry Perimeter Center 9960 Mayland Drive, Suite 300 Henrico, Virginia 23233-1463 Reactivate a Dentist License If you hold a Current Inactive Dentist license and wish to return to practice. Dental Hygiene Restorative Functions Endorsement Restorative Curriculum Template, Request for Approval Application & List of Approved Courses Restorative Functions Endorsement Volunteer License Dental & Dental Hygiene Registry - Limitation of Liability Volunteer Application Out of State Volunteer License Application Please note: CLINICAL EXAMINATIONS ACCEPTED FOR LICENSURE guidance document 60-26 Policy On Dental Hygiene Clinical Competency Examination Requirements . 7 Eagle Square. 6/2022 . Dental Hygiene Permits Verification of Licensure Verification of Specialty Licensure Verification of Specialty Training Application for a Permit to Assist the Administration of and Monitor Nitrous Oxide Analgesia Application for Expanded Functions Permits Your application will not be processed unless the fee and all supporting documents are received. Individuals who withdraw their licensure application may be entitled to a partial refund.. For the procedure to withdraw your application, contact the Dental Hygiene Unit at opunit3@nysed.gov or by calling 518-474-3817 ext. Dental/Dental Hygiene/Dental Therapy School(s) (Name and Location) From (mm/yy) To (mm/yy) Degree . Licensure When you become a licensed dental hygienist you join the ranks of other licensed health care professionals such as nurses, physical therapists, dentists, physicians and dieticians. To obtain exam scores contact: Joint Commission on National Dental Examinations 211 East . Dental Hygiene Requirements and Application Process (10/21) Page 2 of 2 CPR Certification: certificate course has been taken within two years of application. P.O. ST-DENTISTRY@PA.GOV. This type of license limits the practice location to programs offered by the educational institution. 1. Application Fee $100.00. .pdf. past five years." 3. Dental Hygienist. 6/2022 . Has graduated from: a dental hygiene college or school approved by the board or accredited by the Commission on Accreditation of the American Dental Association or its successor agency, if any, or any other dental hygiene program accrediting entity recognized by the United States Department of Education; OR A fully completed Dental Hygiene Licensure Application and fee. Dental Hygienists who hold a Public Health Authorization for Treating Children . Board of Dentistry. Licensing. Board Rules. Credentialing Application Fees. Any paper applications received will be returned to you and you will be redirected to complete an application online. The 11-member board is made up of six licensed dentists, two licensed dental hygienists, two public members an one business entity member. Dentist Take-Home Law Exam (Waived) [PDF] Dental Hygiene Take-Home Law Exam (Waived) [PDF] For a Limited Educational License - This process is applicable to a dental hygienist licensed in another state and who will be teaching in a dental hygiene educational institute. You will need to attach, where indicated, a color photograph, passport-sized (2" x 2") or larger. The Board reviews each application package and determines an applicant's eligibility for a license. The applications for the Board of Dentistry must include all documents listed on the application checklist below. ALL applicants for a Louisiana license (both full as well as restricted) are required to take a jurisprudence examination covering the Louisiana Dental Practice Act which can . Note: This mailbox is reserved for receipt of documentation specific to letters of good standing, exam information, disciplinary documents, transcripts and other education or employment verifications, and any other outside agency or . 1 . 2022 Dental Hygiene CE Audit Form- New Dental Hygiene - Licensure by Exam . Telephone: (207) 287-3333 Fax: (207) 287-8140 Email: dental.board@maine.gov dental.board@maine.gov Application for Licensure after the passage of the ADEX Mannequin Examination. Dental Hygienists who hold a Public Health Authorization for Treating Children and are applying to have Interim Therapeutic Restoration and the ability to Write Prescriptions for Mouth Rinses and Fluoride Products added to their dental hygiene license will have them added to their Public Health Authorization also.