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Notification Form for Practice Owners

The following is stated in the College Bylaws:

(1) At least 90 days prior to opening, operating, acquiring, adding a component to, or moving a dental hygiene practice, a regulated member is required to provide written notification to the College of the following information:

(a) the practice name;
(b) phone number;
(c) email address;
(d) complete business address;
(e) names of any additional owners;
(f) any other information requested by the Registrar.

(2) Upon receipt of the required information, and prior to a Dental Hygiene Practice opening or moving, the College shall conduct an inspection of the regulated member in accordance with College policies.

(3) A regulated member is required to provide written notification to the College of any change in the ownership interests or changes to information listed in (1) above at least 90 days prior to the anticipated change.

(4) Any regulated member who closes or transfers ownership of a dental hygiene practice is required to provide written notification to the College of the closure or transfer at least 90 days prior to the anticipated date.

Please complete and submit this form.

If you responded Yes to the above question, please provide full name(s) and registration number(s), if applicable.

Any additional business owners/operators who are registered dental hygienists must also complete this form in full.

If you are closing or transferring ownership of a practice, please fill out the Notification Form for Closing or Transferring Ownership of a Practice