Registration is mandatory to practice

Registration Package Request Form

Complete and submit this form to request a registration package. The package will be sent by email. Please allow approximately one week for processing your request.

 

Gender    
Full Name
Address
City

Province
Postal Code/Zip

Country
Phone Number


Email Address
 
Are you a Canadian Dental Hygiene Graduate?


Date Completed

Name of DH Academic Institution
Are you a International Dental Hygiene Graduate?


Date Completed

Name of DH Academic Institution
Are you currently registered to practice dental hygiene in another Canadian Province?


Name of Provincial Regulator

Expiry date of your license
Additional Information