redball3.gif (946 bytes) Dental Hygiene Page
redball3.gif (946 bytes) Board Information
redball3.gif (946 bytes) Brochures
redball3.gif (946 bytes) Certification/Verification
redball3.gif (946 bytes) Complaints
redball3.gif (946 bytes) Contact Information
     Contact Us
     Other Contacts
redball3.gif (946 bytes) Duplicate/Reissue
redball3.gif (946 bytes) Licensee Assistance Program
redball3.gif (946 bytes) Licensure Information
     Applications
     Continuing Ed
     Exam Requirements
     Fees
     License Lookup
     Procedures
     Requirements
     Renewal Information
redball3.gif (946 bytes) Listings
redball3.gif (946 bytes) Name and Address Changes
redball3.gif (946 bytes) Regulations
Statutes

Dental Hygiene
Applications

These forms may be completed online, however, they cannot be submitted via e-mail due to the fact that all applications and forms require original signatures. If you complete the form online, you must print the form and mail it to the address listed.

pdf icon Application for License to Practice Dental Hygiene 
pdf icon Application for Reinstatement of Dental Hygienist License
pdf icon Local Anesthesia Permit
pdf icon Name Change Form
pdf icon Duplicates/Reissue Form
pdf icon Jurisprudence Examination-An open book examination to be completed
     and returned along with the application for licensure.

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Documents in PDF PDF format require the use of Adobe Acrobat Reader
which can be downloaded for free from Adobe Systems, Inc.