Tenn. Comp. R. & Regs. 0460-03-.02 - CRITERIA APPROVAL LICENSURE PROCESS (RECIPROCITY)
Dental hygienists who are licensed in other states may obtain a license to practice in Tennessee by the following process:
(1) An applicant shall obtain a Board
application form from the Board's Administrative Office, respond truthfully and
completely to every question or request for information contained in the form
and submit it along with all documentation and fees required by the form and
this rule to the Board's Administrative Office. It is the intent of this rule
that all activities necessary to accomplish the filing of the required
documentation be completed prior to filing a licensure application.
(2) An applicant shall cause to be submitted
directly, from a dental hygiene school, college or university approved or
provisionally approved by the Commission on Dental Accreditation of the
American Dental Association, to the Board Administrative Office, a certificate
of graduation containing the institutions official seal and which shows the
following:
(a) The applicant's transcript;
and
(b) The degree and diploma
conferred.
(3) An
applicant shall cause to be submitted directly from the American Dental
Association, to the Board Administrative Office, proof of successful completion
of the National Board examination if the person graduated from a dental hygiene
college, school or university after 1972.
(4) An applicant shall submit:
(a) proof of having attained at least
eighteen (18) years of age; and
(b)
a signed "passport" style photograph taken within the preceding twelve (12)
months.
(5) An applicant
shall submit evidence of good moral character. Such evidence shall include at
least two (2) letters attesting to the applicant's character, standing and
ability from dentists on the signator's letterhead.
(6) An applicant shall submit proof of United
States or Canadian citizenship or evidence of being legally entitled to live in
the United States. Such evidence may include copies of birth certificates,
naturalization papers, or current visa status.
(7) An applicant shall submit the licensure
application fee and state regulatory fee as provided in rules
0460-01-.02(2).
Also, if licensure is granted, the new licensee must submit the criteria
approval licensure fee provided in Rule
0460-01-.02(2)
before a license will be issued.
(8) An applicant shall disclose the
circumstances surrounding any of the following:
(a) Conviction of any criminal law violation
of any country, state, or municipality, except minor traffic
violations.
(b) The denial of
licensure application by any other state or the discipline of licensure in any
state.
(c) Any other civil suit
judgment or civil suit settlement in which the applicant was a party defendant
including, without limitation, actions involving malpractice, breach of
contract, antitrust activity or any other civil action remedy recognized under
any country's or state's statutory, common, or case law.
(d) Failure of any dental or dental hygiene
licensure examination.
(9) An applicant shall cause to be submitted
to the Board's administrative office directly from the vendor identified in the
Board's licensure application materials, the result of a criminal background
check.
(10) An applicant shall
submit evidence of current training in cardiopulmonary resuscitation (CPR)
which is defined as successful completion of a BLS for Healthcare Providers, or
CPR/AED for Professional Rescuers, or an equivalent course, which provides
training for healthcare professionals in CPR and the use of an AED by a Board
approved training organization. The course must be conducted in person and
include a skills examination on a manikin with a certified
instructor.
(11) The applicant
shall submit or cause to be submitted the equivalent of a Tennessee Certificate
of Endorsement from each licensing board of each State in which licensure is or
was ever held which indicates the applicant either holds a current active
license and whether it is in good standing, or held a license which is
currently inactive and whether it was in good standing at the time it became
inactive. An applicant must possess an active, current license which is in good
standing in at least one other state.
(12) An applicant must submit a personal or
professional resume on a form provided by the Board.
(13) An applicant must submit evidence
satisfactory to the Board of all the following:
(a) Active, licensed practice of dental
hygiene in a private office setting, or in post-graduate dental hygiene study
or in service as a dental hygiene faculty member for three (3) of the five (5)
years immediately preceding application. Temporary absences from employment
during the three (3) year period may under individual circumstances not be
considered as a disqualifying factor at the discretion of the Board.
(b) If requested, ability to provide patient
care on a continuing basis.
(14) Unless an applicant subsequently retakes
and passes a failed examination, an applicant must never have failed any
Board-approved examination as provided in rule
0460-03-.05 to be eligible for
licensure under the criteria approval process described in this rule.
(15) An applicant must successfully complete
the Tennessee Board of Dentistry Ethics and Jurisprudence
examination.
(16) Application
review and licensure decisions required by this rule shall be governed by Rule
0460-01-.04.
Notes
Authority: T.C.A. ยงยง 4-5-202, 4-5-204, 63-5-105, 63-5-107, 63-5-111, 63-5-114, and 63-5-124.
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