Initial Dental Hygienist Licensure by Examination

The Board may grant a license by examination to an applicant provided the applicant is of good moral character, has met all eligibility requirements and has submitted the following information to the Board: (1) An accurate, complete and signed application, as specified by the Board for that purpose; Office of Administration and Finance, unless waived in accordance with M.G.L. c. 112, § 1B; (3) An original transcript with the college seal stating the degree granted and the date of issue from a CODA-accredited dental hygiene program or any successor accrediting agency approved by the Board, or a letter including the college's seal signed by the appropriate authority attesting to the applicant's degree and date of graduation; (4) Documentation of passing each of the following examinations: (a) Parts I and II of the ADA National Board Examination for Dental Hygienists; (b) The CDCA examination for Dental Hygiene or other state or regional examination approved by the Board; and (c) Massachusetts Dental Ethics and Jurisprudence Examination or any successor examination or a Board-approved successor examination; (5) Documentation of current BLS certification or CPR/AED certification; (6) A physician's statement made after an examination conducted within one year of the date of application, attesting to the health of the applicant and reporting impairments that may affect the applicant's ability to practice dental hygiene; (7) A passport-size color photograph; (8) A statement disclosing any and all disciplinary, civil or criminal action taken or filed against the applicant at any time after reaching the age of majority and prior to the date of application, with supporting documentation as the Board may require; (9) Proof satisfactory to the Board of good moral character; and (10) An attestation, signed under pains and penalties of perjury, that the applicant has complied with all state tax laws pursuant to M.G.L. c. 62C, § 49A and child support laws pursuant to M.G.L. c. 119A, § 16(a).