<html xmlns="http://www.w3.org/1999/xhtml"><head><meta charset="UTF-8" /><title></title><meta name="Generator" content="PowerTools for Open XML" /><style>span { white-space: pre-wrap; } p.s8c5fc891-1fbe-46b6-acfe-1b7bac697966P0 { margin-top: 0; margin-bottom: 0; margin-left: 0; margin-right: 0; text-indent: 0.00in; text-align: justify; background: white; font-family: 'Times New Roman', 'serif'; font-size: 12pt; line-height: 108%; } span.s8c5fc891-1fbe-46b6-acfe-1b7bac697966C0 { color: black; background: white; font-family: 'Times New Roman', 'serif'; font-size: 12pt; font-style: normal; font-weight: normal; margin: 0; padding: 0; } span.s8c5fc891-1fbe-46b6-acfe-1b7bac697966C0-000000 { color: #0000FF; background: white; font-family: 'Times New Roman', 'serif'; font-size: 12pt; font-style: normal; font-weight: bold; margin: 0; padding: 0; } span.s8c5fc891-1fbe-46b6-acfe-1b7bac697966C0-000001 { color: black; background: white; font-family: 'Times New Roman', 'serif'; font-size: 12pt; font-style: normal; font-weight: bold; margin: 0; padding: 0; } span.s8c5fc891-1fbe-46b6-acfe-1b7bac697966000002 { color: black; background: white; font-size: 12pt; font-style: normal; font-weight: normal; margin: 0; padding: 0; } span.s8c5fc891-1fbe-46b6-acfe-1b7bac697966C0-000003 { color: #0000FF; background: white; font-family: 'Times New Roman', 'serif'; font-size: 12pt; font-style: normal; font-weight: normal; margin: 0; padding: 0; } p.s8c5fc891-1fbe-46b6-acfe-1b7bac697966P0-000004 { margin-top: 0; margin-bottom: 0; margin-left: 0; margin-right: 0; text-indent: 0.00in; text-align: justify; background: white; font-family: Times; font-size: 12pt; line-height: 108%; } </style></head><body><div><p dir="ltr" class="s8c5fc891-1fbe-46b6-acfe-1b7bac697966P0"><span xml:space="preserve" class="s8c5fc891-1fbe-46b6-acfe-1b7bac697966C0">    </span><a href="https://sdlegislature.gov/Rules?Rule=20:43:03:10"><span class="s8c5fc891-1fbe-46b6-acfe-1b7bac697966C0-000000">20:43:03:10</span></a><span class="s8c5fc891-1fbe-46b6-acfe-1b7bac697966C0-000001">.  Application for license to practice as a dental hygienist -- Credential verification.</span><span xml:space="preserve" class="s8c5fc891-1fbe-46b6-acfe-1b7bac697966C0"> An applicant for a license to practice as a</span><span xml:space="preserve" class="s8c5fc891-1fbe-46b6-acfe-1b7bac697966C0"> </span><span xml:space="preserve" class="s8c5fc891-1fbe-46b6-acfe-1b7bac697966C0">dental hygienist by credential verification shall submit </span><span class="s8c5fc891-1fbe-46b6-acfe-1b7bac697966C0">to the State Board of Dentistry</span><span class="s8c5fc891-1fbe-46b6-acfe-1b7bac697966C0">:</span></p><p dir="ltr" class="s8c5fc891-1fbe-46b6-acfe-1b7bac697966P0"><span xml:space="preserve" class="s8c5fc891-1fbe-46b6-acfe-1b7bac697966000002"> </span></p><p dir="ltr" class="s8c5fc891-1fbe-46b6-acfe-1b7bac697966P0"><span xml:space="preserve" class="s8c5fc891-1fbe-46b6-acfe-1b7bac697966C0">    (1)  A completed application form and fee of </span><span class="s8c5fc891-1fbe-46b6-acfe-1b7bac697966C0">three hundred dollars</span><span class="s8c5fc891-1fbe-46b6-acfe-1b7bac697966C0">;</span></p><p dir="ltr" class="s8c5fc891-1fbe-46b6-acfe-1b7bac697966P0"><span xml:space="preserve" class="s8c5fc891-1fbe-46b6-acfe-1b7bac697966C0">    (2)  A statement from a licensed doctor of medicine, doctor of osteopathic medicine, physician assistant, or certified nurse practitioner attesting to the applicant's physical and mental condition;</span></p><p dir="ltr" class="s8c5fc891-1fbe-46b6-acfe-1b7bac697966P0"><span xml:space="preserve" class="s8c5fc891-1fbe-46b6-acfe-1b7bac697966C0">    (3)  Verification of </span><span xml:space="preserve" class="s8c5fc891-1fbe-46b6-acfe-1b7bac697966C0">the applicant's </span><span class="s8c5fc891-1fbe-46b6-acfe-1b7bac697966C0">passage of the National Board Dental Hygiene Examination;</span></p><p dir="ltr" class="s8c5fc891-1fbe-46b6-acfe-1b7bac697966P0"><span xml:space="preserve" class="s8c5fc891-1fbe-46b6-acfe-1b7bac697966C0">    (4)  Verification of </span><span xml:space="preserve" class="s8c5fc891-1fbe-46b6-acfe-1b7bac697966C0">the applicant's </span><span class="s8c5fc891-1fbe-46b6-acfe-1b7bac697966C0">passage of a patient</span><span class="s8c5fc891-1fbe-46b6-acfe-1b7bac697966C0">-</span><span class="s8c5fc891-1fbe-46b6-acfe-1b7bac697966C0">based</span><span class="s8c5fc891-1fbe-46b6-acfe-1b7bac697966C0">, simulation-based, or manikin-based</span><span xml:space="preserve" class="s8c5fc891-1fbe-46b6-acfe-1b7bac697966C0"> clinical competency </span><span xml:space="preserve" class="s8c5fc891-1fbe-46b6-acfe-1b7bac697966C0">psychomotor </span><span xml:space="preserve" class="s8c5fc891-1fbe-46b6-acfe-1b7bac697966C0">examination that has been approved by the </span><span class="s8c5fc891-1fbe-46b6-acfe-1b7bac697966C0">State Board of Dentistry</span><span xml:space="preserve" class="s8c5fc891-1fbe-46b6-acfe-1b7bac697966C0"> or passage of a state examination that the board considers equivalent;</span></p><p dir="ltr" class="s8c5fc891-1fbe-46b6-acfe-1b7bac697966P0"><span xml:space="preserve" class="s8c5fc891-1fbe-46b6-acfe-1b7bac697966C0">    (5)  </span><span class="s8c5fc891-1fbe-46b6-acfe-1b7bac697966C0">Verification of</span><span xml:space="preserve" class="s8c5fc891-1fbe-46b6-acfe-1b7bac697966C0"> the license and status of the license from the board of dentistry in each state in which the applicant is or has been licensed;</span></p><p dir="ltr" class="s8c5fc891-1fbe-46b6-acfe-1b7bac697966P0"><span xml:space="preserve" class="s8c5fc891-1fbe-46b6-acfe-1b7bac697966C0">    (6)  Certified transcripts or, when approved</span><span xml:space="preserve" class="s8c5fc891-1fbe-46b6-acfe-1b7bac697966C0"> by the State Board of Dentistry,</span><span xml:space="preserve" class="s8c5fc891-1fbe-46b6-acfe-1b7bac697966C0"> a certified letter from a dental hygiene school official verifying that the applicant has graduated from a United States dental hygiene school</span><span xml:space="preserve" class="s8c5fc891-1fbe-46b6-acfe-1b7bac697966C0"> accredited by the </span><span class="s8c5fc891-1fbe-46b6-acfe-1b7bac697966C0">American Dental Association Commission on Dental Accreditation, having obtained a dental hygiene degree;</span></p><p dir="ltr" class="s8c5fc891-1fbe-46b6-acfe-1b7bac697966P0"><span xml:space="preserve" class="s8c5fc891-1fbe-46b6-acfe-1b7bac697966C0">    (7)  A copy of the applicant's birth certificate or equivalent documentation;</span></p><p dir="ltr" class="s8c5fc891-1fbe-46b6-acfe-1b7bac697966P0"><span xml:space="preserve" class="s8c5fc891-1fbe-46b6-acfe-1b7bac697966C0">    (8)  A copy of the applicant's current cardiopulmonary resuscitation card</span><span xml:space="preserve" class="s8c5fc891-1fbe-46b6-acfe-1b7bac697966C0"> from</span><span xml:space="preserve" class="s8c5fc891-1fbe-46b6-acfe-1b7bac697966C0"> the American Heart Association for the Healthcare Provider, the American Red Cross for the Professional Rescuer, or an equivalent program approved by the </span><span class="s8c5fc891-1fbe-46b6-acfe-1b7bac697966C0">State Board of Dentistry</span><span class="s8c5fc891-1fbe-46b6-acfe-1b7bac697966C0">; and</span></p><p dir="ltr" class="s8c5fc891-1fbe-46b6-acfe-1b7bac697966P0"><span xml:space="preserve" class="s8c5fc891-1fbe-46b6-acfe-1b7bac697966C0">    (9)  A recent photograph</span><span xml:space="preserve" class="s8c5fc891-1fbe-46b6-acfe-1b7bac697966C0"> of the applicant</span><span class="s8c5fc891-1fbe-46b6-acfe-1b7bac697966C0">.</span></p><p dir="ltr" class="s8c5fc891-1fbe-46b6-acfe-1b7bac697966P0"><span xml:space="preserve" class="s8c5fc891-1fbe-46b6-acfe-1b7bac697966000002"> </span></p><p dir="ltr" class="s8c5fc891-1fbe-46b6-acfe-1b7bac697966P0"><span xml:space="preserve" class="s8c5fc891-1fbe-46b6-acfe-1b7bac697966C0">    </span><span class="s8c5fc891-1fbe-46b6-acfe-1b7bac697966C0">To be considered</span><span xml:space="preserve" class="s8c5fc891-1fbe-46b6-acfe-1b7bac697966C0"> for a license to practice as a dental hygienist</span><span class="s8c5fc891-1fbe-46b6-acfe-1b7bac697966C0">, an applicant</span><span xml:space="preserve" class="s8c5fc891-1fbe-46b6-acfe-1b7bac697966C0"> </span><span class="s8c5fc891-1fbe-46b6-acfe-1b7bac697966C0">must</span><span xml:space="preserve" class="s8c5fc891-1fbe-46b6-acfe-1b7bac697966C0"> pass a written examination administered by the </span><span class="s8c5fc891-1fbe-46b6-acfe-1b7bac697966C0">State Board of Dentistry</span><span xml:space="preserve" class="s8c5fc891-1fbe-46b6-acfe-1b7bac697966C0"> on the relevant administrative rules and statutes</span><span xml:space="preserve" class="s8c5fc891-1fbe-46b6-acfe-1b7bac697966C0"> with a cut score of at least seventy percent</span><span class="s8c5fc891-1fbe-46b6-acfe-1b7bac697966C0">.</span></p><p dir="ltr" class="s8c5fc891-1fbe-46b6-acfe-1b7bac697966P0"><span xml:space="preserve" class="s8c5fc891-1fbe-46b6-acfe-1b7bac697966000002"> </span></p><p dir="ltr" class="s8c5fc891-1fbe-46b6-acfe-1b7bac697966P0"><span xml:space="preserve" class="s8c5fc891-1fbe-46b6-acfe-1b7bac697966C0">    </span><span class="s8c5fc891-1fbe-46b6-acfe-1b7bac697966C0">For the State Board of Dentistry to consider an application at a meeting of the board</span><span class="s8c5fc891-1fbe-46b6-acfe-1b7bac697966C0">, a complete application</span><span class="s8c5fc891-1fbe-46b6-acfe-1b7bac697966C0">, fee,</span><span xml:space="preserve" class="s8c5fc891-1fbe-46b6-acfe-1b7bac697966C0"> and all supporting documentation must be received </span><span xml:space="preserve" class="s8c5fc891-1fbe-46b6-acfe-1b7bac697966C0">by the board </span><span xml:space="preserve" class="s8c5fc891-1fbe-46b6-acfe-1b7bac697966C0">at least </span><span class="s8c5fc891-1fbe-46b6-acfe-1b7bac697966C0">thirty</span><span xml:space="preserve" class="s8c5fc891-1fbe-46b6-acfe-1b7bac697966C0"> days before the board meeting. If requested</span><span xml:space="preserve" class="s8c5fc891-1fbe-46b6-acfe-1b7bac697966C0"> by the State Board of Dentistry</span><span xml:space="preserve" class="s8c5fc891-1fbe-46b6-acfe-1b7bac697966C0">, an applicant </span><span class="s8c5fc891-1fbe-46b6-acfe-1b7bac697966C0">must</span><span xml:space="preserve" class="s8c5fc891-1fbe-46b6-acfe-1b7bac697966C0"> appear for a personal interview conducted by the board on a date set by the board.</span></p><p dir="ltr" class="s8c5fc891-1fbe-46b6-acfe-1b7bac697966P0"><span xml:space="preserve" class="s8c5fc891-1fbe-46b6-acfe-1b7bac697966000002"> </span></p><p dir="ltr" class="s8c5fc891-1fbe-46b6-acfe-1b7bac697966P0"><span xml:space="preserve" class="s8c5fc891-1fbe-46b6-acfe-1b7bac697966C0">    </span><span class="s8c5fc891-1fbe-46b6-acfe-1b7bac697966C0-000001">Source:</span><span xml:space="preserve" class="s8c5fc891-1fbe-46b6-acfe-1b7bac697966C0"> 45 SDR 35, effective September 19, 2018; 47 SDR 11, effective August 12, 2020</span><span class="s8c5fc891-1fbe-46b6-acfe-1b7bac697966C0">; 50 SDR 12, effective August 8, 2023; 50 SDR 64, effective November 29, 2023</span><span class="s8c5fc891-1fbe-46b6-acfe-1b7bac697966C0">.</span></p><p dir="ltr" class="s8c5fc891-1fbe-46b6-acfe-1b7bac697966P0"><span xml:space="preserve" class="s8c5fc891-1fbe-46b6-acfe-1b7bac697966C0">    </span><span class="s8c5fc891-1fbe-46b6-acfe-1b7bac697966C0-000001">General Authority:</span><span xml:space="preserve" class="s8c5fc891-1fbe-46b6-acfe-1b7bac697966C0"> SDCL </span><a href="https://sdlegislature.gov/Statutes?Statute=36-6A-14"><span class="s8c5fc891-1fbe-46b6-acfe-1b7bac697966C0-000003">36-6A-14</span></a><span xml:space="preserve" class="s8c5fc891-1fbe-46b6-acfe-1b7bac697966C0">(20), </span><a href="https://sdlegislature.gov/Statutes?Statute=36-6A-47.1"><span class="s8c5fc891-1fbe-46b6-acfe-1b7bac697966C0-000003">36-6A-47.1</span></a><span xml:space="preserve" class="s8c5fc891-1fbe-46b6-acfe-1b7bac697966C0">, </span><a href="https://sdlegislature.gov/Statutes?Statute=36-6A-50"><span class="s8c5fc891-1fbe-46b6-acfe-1b7bac697966C0-000003">36-6A-50</span></a><span class="s8c5fc891-1fbe-46b6-acfe-1b7bac697966C0">.</span></p><p dir="ltr" class="s8c5fc891-1fbe-46b6-acfe-1b7bac697966P0"><span xml:space="preserve" class="s8c5fc891-1fbe-46b6-acfe-1b7bac697966C0">    </span><span class="s8c5fc891-1fbe-46b6-acfe-1b7bac697966C0-000001">Law Implemented:</span><span xml:space="preserve" class="s8c5fc891-1fbe-46b6-acfe-1b7bac697966C0"> SDCL </span><a href="https://sdlegislature.gov/Statutes?Statute=36-6A-14"><span class="s8c5fc891-1fbe-46b6-acfe-1b7bac697966C0-000003">36-6A-14</span></a><span xml:space="preserve" class="s8c5fc891-1fbe-46b6-acfe-1b7bac697966C0">(3), </span><a href="https://sdlegislature.gov/Statutes?Statute=36-6A-47.1"><span class="s8c5fc891-1fbe-46b6-acfe-1b7bac697966C0-000003">36-6A-47.1</span></a><span xml:space="preserve" class="s8c5fc891-1fbe-46b6-acfe-1b7bac697966C0">, </span><a href="https://sdlegislature.gov/Statutes?Statute=36-6A-50"><span class="s8c5fc891-1fbe-46b6-acfe-1b7bac697966C0-000003">36-6A-50</span></a><span class="s8c5fc891-1fbe-46b6-acfe-1b7bac697966C0">(18).</span></p><p dir="ltr" class="s8c5fc891-1fbe-46b6-acfe-1b7bac697966P0-000004"><span xml:space="preserve" class="s8c5fc891-1fbe-46b6-acfe-1b7bac697966000002"> </span></p></div></body></html>