If you have completed additional dental hygiene education as a separate module in Local Anaesthetic, Restorative, or Orthodontic skills over the last 12 months from your initial education as an RDH, or have achieved 3000 career hours and wish to be included on the appropriate roster, please complete and submit the appropriate declaration and a certified copy* of the certificate of completion from the course/module.
Certified copy*:
- applicants who recieve their additional training in Manitoba may have documents certified as true copies by a Commissioner for Oaths or a Notary Public. If a Commissioner for Oaths is used, signatures must be accompanied by the Commissioner’s printed name and the expiry date of his/her Commission. Stamps and/or seals may also be used. Persons (doctors or dentists) whom sign passports as references are not able to certify documents unless they they are in fact a recognized Comissioner for Oaths or a Notary Public.
- applicants who receive their additional training outside Manitoba must have a Lawyer/Notary Public certify necessary documents.
Declarations can be mailed to the CDHM office. A new certificate and wallet card will be issued upon the review and approval of the declaration and accompanying certificates.
- Local Anaesthetic Declaration
(
PDF document, 1 page, 50 kb) - Restorative Declaration
( PDF document, 1 page, 50 kb) - Orthodontic Declaration
( PDF document, 1 page, 50 kb) - Extended Practice Declaration
( PDF document, 1 page, 50 kb)
