Applications

Licensing Application

Every person who desires to practice dental hygiene in Kansas must submit a written application and proof that the applicant is at least 18 years of age, of good moral character, and a graduate of a dental school or college approved by the American Dental Association Commission on Dental Accreditation (CODA).  Other requirements are outlined in each application below.

* Effective immediately, each applicant must complete the following prior to application submission

1.  Fully Completed Application.  Assemble all documentation and submit a fully completed application prior to Board processing. Please read all instructions carefully.

2.  Clinical Exam.  Please make sure your clinical exams meet the Board's requirements for licensure in the State of Kansas.  You will find the requirements here

3. Date of Application Submission for 2024 Graduates.  Please do not submit your application more than seven (7) days before your actual graduation date. For example, if you graduate on May 10, 2024, you may submit your application no sooner than May 3, 2024.  This ensures access to transcripts with a degree posted.

4. Dental Hygiene Students Graduating in 2024.  On and after January 1, 2023, all applicants seeking a license to practice dental hygiene in Kansas must take and successfully complete all sections of a clinical licensure exam that is patient-based or manikin-based.

5. Printing the Application.  Please make sure the application prints in full on your paper. If necessary, shrink your printing scale to ensure the entire application prints in full on your paper.

Licensing by Examination

If you are a recent graduate from a school or have been licensed in another state for less than 3 years, you will apply by Examination.

Licensing by Credential

If you have been licensed for more than 3 years and have practiced during the past 3 years from the date of application, you will apply by Credential.

Licensing by Reinstatement of a Kansas License

If you previously held a Kansas license, but the license is no longer active, and you have practiced during the past 3 years from the date of application, you will apply by Reinstatement.

Licensing by Returning a Retired or Disabled Kansas License to Active

If you have placed your Kansas license on retired or disabled status, you will apply by Return to Active Status.

Extended Care Permits

Extended Care Permit I

If you are a licensed dental hygienist and meet the qualifications on the application, you may apply for an Extended Care Permit I.

Extended Care Permit II

If you are a licensed dental hygienist and meet the qualifications on the application, you may apply for an Extended Care Permit II.

Extended Care Permit III

If you are a licensed dental hygienist and meet the qualifications on the application, you may apply for an Extended Care Permit III.

Extended Care Permit Change of Sponsoring Dentist

If you are a licensed hygienist who holds any level of an Extended Care Permit and your sponsoring dentist has changed, you must notify the Board by completing a Change of Sponsoring Dentist.