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Hygienist Renewals 

Download Application Form

RENEWAL APPLICATION: A renewal form will be mailed to you no later than the first week of October on your renewal year. Please type or print your corrections. THE FORM SHOULD BE SIGNED AND DATED and returned to the Board office. I you are not being audited you may renew online. Please review the pre-printed information on the renewal form and make any revisions that are applicable.
 
You must have evidence of completion of continuing education. If you are audited then you will be required to mail in proof of your completed continuing education courses.

FEE: The biennial license renewal fee for dental hygienists is $150.

CONTINUING EDUCATION: For any continuing education that was not physically attended the dental hygenist shall submit evidence of satisfactory completion. Each course shall have been completed in the 24-month period immediately preceding the date of expiration of the dental hygiene license for a total of 30 hours.

Any hygienist licensed less than 24 months, but more than twelve months, from the expiration date of the license is only required to submit 15 hours of continuing education. Any hygienist licensed less than twelve months from the expiration date of the license is exempt from continuing requirements for their first renewal cycle.

CANCELLATION: Pursuant to K.S.A. 65-1431(f)(1) "Any license granted under authority of this act shall automatically be canceled if the holder thereof fails to apply for and obtain renewal prior to March 1 of the year following the December in which a renewal application is due."

Please notify this office in writing if you wish to cancel your license per your request.


Kansas Dental Board
900 SW Jackson, Room 564-S  -  Topeka, KS 66612-1230
phone: (785) 296-6400  -  Fax: (785)296-3116 

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