650—11.5 (147,153) Dental hygiene licensure by examination.
	 11.5(1) Applications for licensure to practice dental hygiene in this state shall be made on the form provided by the dental hygiene committee and must be completely answered, including required credentials and documents.
	 11.5(2) Applications for licensure must be filed with the dental hygiene committee along with:
	  a.   	 Documentation of graduation from dental hygiene school. Satisfactory evidence of graduation from an accredited school of dental hygiene approved by the dental hygiene committee.
	  b.   	 Certification of good standing from dean or designee. Certification by the dean or other authorized representative of the school of dental hygiene that the applicant has been a student in good standing while attending that dental hygiene school.
	  c.   	 Evidence of good standing in each state where licensed. If the applicant is licensed as a dental hygienist by another jurisdiction, the applicant shall furnish evidence from the appropriate examining board of that jurisdiction that the applicant is a licensed dental hygienist in good standing.
	  d.   	 Documentation of completion of national examination. Evidence of successful completion of the examination administered by the Joint Commission on National Dental Examinations.
	  e.   	 Passage of regional clinical examination.
	 (1) 	 Successful passage of CRDTS. Evidence of having successfully completed in the last five years the examination administered by the Central Regional Dental Testing Service, Inc.	(CRDTS).
	 (2) 	 Special transition period for dental hygienists passing WREB examination prior to September 1, 2011. An applicant who has successfully taken and passed the WREB examination within the five years prior to September 1, 2011, may apply for licensure by examination by submitting evidence of successful completion of the WREB examination.
	  f.   	 Payment of application, fingerprint and background check fees. The nonrefundable application fee, plus the fee for the evaluation of the fingerprint packet and the criminal history background checks by the Iowa division of criminal investigation (DCI) and the Federal Bureau of Investigation (FBI), as specified in 650—Chapter 15.
	  g.   	 Documentation of passage of jurisprudence examination. Evidence of successful completion of the jurisprudence examination administered by the dental hygiene committee.
	  h.   	 Current CPR certification. A statement:
	 (1) 	 Confirming that the applicant possesses a valid certificate from a nationally recognized course in cardiopulmonary resuscitation (CPR) that included a “hands-on” clinical component;
	 (2) 	 Providing the expiration date of the CPR certificate; and
	 (3) 	 Acknowledging that the CPR certificate will be retained and made available to board office staff as part of routine auditing and monitoring.
	  i.   	 Explanation of any legal or administrative actions. A statement disclosing and explaining any disciplinary actions, investigations, complaints, malpractice claims, judgments, settlements, or criminal charges, including the results of a self-query of the National Practitioners Data Bank (NPDB) and the Healthcare Integrity and Protection Data Bank (HIPDB).
	  j.   	 Completed fingerprint packet. A completed fingerprint packet to facilitate a criminal history background check by the DCI and FBI.
	 11.5(3) The dental hygiene committee may require a personal appearance or any additional information relating to the character, education and experience of the applicant.
	 11.5(4) Applications must be signed and verified as to the truth of the statements contained therein.
	 11.5(5) Following review by the dental hygiene committee, the committee shall make recommendation to the board regarding the issuance or denial of any license to practice dental hygiene. The board’s review of the dental hygiene committee recommendation is subject to 650—Chapter 1.
This rule is intended to implement Iowa Code chapters 147 and 153.
[ARC 7790B, IAB 5/20/09, effective 6/24/09; ARC 9218B, IAB 11/3/10, effective 12/8/10; ARC 9510B, IAB 5/18/11, effective 6/22/11; ARC 0265C, IAB 8/8/12, effective 9/12/12]