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Forms and Publications

Applications

Certifications

Forms

Newsletter

Publications

• Applications
• Activate/Inactivate License
• Practice Dental Hygiene through Licensure by Credential
• Practice Dental Hygiene through Licensure by Credential Checklist
• Registered Dental Hygiene through Western Regional Examination Board
• Registered Dental Hygienist Examination
• Registered Dental Hygienist Examination and Licensure (for 3rd and 4th year California Dental Students ONLY)
• Registered Dental Hygienist Examination Recorder
• Registered Dental Hygienist in Alternative Practice
• Request for Duplicate/Replacement License
• Name/Address Change (licensees only)
• Name/Address Change (applicants only)
• National Board report form
• FNP Application and Requirements
• Certifications
• Certification of Dental Hygiene Clinical Practice
• Out of State Licensure Certification
• Out of State Radiation Safety Certification
• Request for Certification of California RDH License
• Request for Certification of California RDA License
• Forms
• DHCC Physician Clearance Form
• Documentation of Registered Dental Hygienist in Alternative Practice Relationship with Dentist
• Livescan Forms for Applicants
• Livescan for Registered Dental Hygienist Applicants
• Livescan for Registered Dental Hygienist in Alternative Practice Applicants
• Livescan Renewal Forms for Licensees
• Livescan for Registered Dental Hygienist Renewal
• Livescan for Registered Dental Hygienist in Alternative Practice Renewal
• Livescan for Registered Dental Hygienist in Extended Functions Renewal
• Newsletter
• Newsletter
• Publications
• PSI Handbook for RDH and RDHAP
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