---
title: Dental Hygienist License Application Form Template | Paperform
description: Professional dental hygienist licensure application template with clinical exam scheduling, national board score verification, jurisprudence exam registration, and payment processing for state dental boards.
url: "https://paperform.co/templates/dental-hygienist-license-application"
type: static
generatedAt: "2026-03-28T00:43:39.319Z"
---

[← Back to free form templates](/templates/)    ![Dental Hygienist License Application](https://img.paperform.co/fetch/f_webp/https://d3gw2uv1ch7vdq.cloudfront.net/content/form_templates/assets/dental-hygienist-license-application.png)
    [Preview](https://_preview.paperform.co/ai-template/dental-hygienist-license-application) [Use this template for free](/create?ai-template=dental-hygienist-license-application)    [Application Forms](/templates/category/applications/) [Healthcare](/templates/industry/healthcare/)[Dental](/templates/industry/dental/)[Public Administration](/templates/industry/public-admin/) [Administrative Assistant](/templates/role/admin-assistant/)[Healthcare Administrator](/templates/role/healthcare-admin/)[Dental Hygienist](/templates/role/dental-hygienist/)     About this free form template
### Streamline Your Dental Hygienist Licensure Process

Applying for a dental hygienist license involves multiple steps—from submitting your national board scores to scheduling clinical examinations and registering for jurisprudence exams. Traditionally, this process meant filling out lengthy paper forms, mailing documents, and navigating confusing state board websites. **This Dental Hygienist License Application template from Paperform simplifies the entire workflow into one professional, easy-to-complete digital form.**

#### Why Dental Boards and Hygienists Choose Paperform

State dental boards, testing agencies, and dental hygiene programs use Paperform to create **compliant, secure application forms** that meet regulatory requirements while providing applicants with a smooth, mobile-friendly experience. For dental hygienists entering the profession or seeking licensure by credentials in a new state, this template eliminates confusion and speeds up processing times.

**Key features for dental licensure applications:**

 - **Conditional logic** that shows only relevant questions based on application type (initial license, reciprocity, reinstatement)
 - **File upload fields** for official transcripts, CPR certifications, background checks, and verification letters
 - **Integrated payments** via Stripe or PayPal for application fees, examination fees, and processing charges
 - **Appointment scheduling** for clinical examination dates at approved testing sites
 - **Calculation fields** that automatically total fees based on selected services and exam types
 - **eSignature capability** through Papersign for affidavits, attestations, and authorization forms

#### Built for Healthcare Licensing Workflows

This template is specifically designed for **state dental boards, regional testing agencies, dental hygiene schools, and professional associations** that manage licensure applications. Whether you're processing hundreds of applications per year or managing a multi-state credentialing program, Paperform handles the complexity while keeping the applicant experience simple.

The form collects:

 - Personal and contact information with automatic validation
 - Educational background including dental hygiene program details and graduation dates
 - National Board Dental Hygiene Examination (NBDHE) scores and candidate ID
 - Clinical examination preferences with available date/time selection
 - Jurisprudence exam registration for state-specific legal and ethical knowledge testing
 - Professional references and employment history
 - Background check consent and disclosure of disciplinary actions
 - Payment processing for all associated fees

#### Automate What Comes After the Application

Once an applicant submits their form, **Stepper** (stepper.io) can automatically trigger your backend workflows:

 - Send confirmation emails with application reference numbers and next steps
 - Route applications to different review queues based on license type or exam requirements
 - Update your licensing database or CRM with applicant information
 - Send reminders for missing documents or upcoming exam dates
 - Notify clinical examiners when candidates schedule appointments
 - Generate license numbers and approval letters when applications are processed

This automation saves administrative staff hours of manual data entry and follow-up, allowing your team to focus on application review and compliance verification rather than paperwork management.

#### Secure, Compliant, and Scalable

Dental licensure applications contain sensitive personal information, education records, and examination scores. Paperform is **SOC 2 Type II compliant**, providing enterprise-grade security with data encryption, secure file storage, and customizable access controls. You can also set up **data residency** options to ensure information stays within your jurisdiction's requirements.

For multi-state boards or agencies managing multiple certification programs, **Agency+ plans** let you create separate forms for each state or program while managing everything from one centralized dashboard with team permissions and branded client portals.

#### Perfect for Healthcare Credentialing Professionals

This template is ideal for:

 - **State dental boards** processing initial licensure, reciprocity, and reinstatement applications
 - **Regional testing agencies** coordinating clinical examination scheduling and score reporting
 - **Dental hygiene programs** helping graduates navigate the licensure process
 - **Professional dental associations** offering licensure support and continuing education tracking
 - **Credentialing specialists** managing multi-state dental hygienist verification

#### Mobile-Friendly for Today's Applicants

Dental hygienists applying for licensure are often juggling clinical rotations, board exam prep, and job searches. This form works beautifully on mobile devices, allowing applicants to save their progress and return later, upload documents from their phone, and complete the entire process without needing a desktop computer.

#### Get Started in Minutes

With Paperform's intuitive doc-style editor, you can customize this template to match your state's specific requirements, add your branding, adjust fee structures, and integrate with your existing systems—all without writing a single line of code. Start with this template and have your professional licensing application live in under an hour.

**Trusted by healthcare boards and professional licensing organizations worldwide**, this template combines the flexibility of Paperform's form builder with the security and compliance standards required for professional credentialing. Whether you're digitizing an existing paper process or building a new multi-state licensure system, Paperform gives you the tools to create a professional, efficient application experience.
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