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Click here to download the 2008-2009 Dental Hygienist License Renewal Form.

Before sending your renewal form to the Board office, make sure that you have done the following:

• Signed the renewal form (at the bottom of the CE form page).
• Made a copy of both sides of your current Healthcare Provider level CPR card to send with your renewal.
  
• Answered all questions and filled in all blanks. If the answer to a question is “none” or “not applicable”, please write “none” or “not applicable” or “n/a”. Incomplete renewals will be returned and charged a reprocessing fee of $25.
  
• Recorded your infection control CE course on the CE form.
• Recorded the appropriate number of CE hours on the CE form.
  

Reminder

• DO NOT send CE certificates or course documentation to the Board office.
  
• CE hours for hygienists:
  
  
  • If you were licensed before 2006 = 40 CE hours.
    
  • If you were licensed in 2006 = 20 CE hours.
    
  • If you were licensed in 2007 = 0 CE hours (simply write “Licensed in 2007” on the CE form).
    
    
• The Board can only accept the “Healthcare Provider “(or its equivalent, “CPR for the Professional Rescuer with AED”) CPR course. No exceptions will be made. If your CPR card does not state “Healthcare Provider” or “CPR for the Professional Rescuer with AED”, contact your CPR instructor. Note: Your CPR course can be counted towards your continuing education credits. The number of CE credits depends on the number of hours of instruction.
  
• The dental hygiene license renewal fee is $100.
  
• If you fail to renew your dental hygiene license by January 31, 2008, you must stop working. A $200 penalty will be imposed in addition to the renewal fee if the renewal is not postmarked by January 31, 2008.