New member business information
Thank you for your interest in joining the DHPO, the only association in Ontario dedicated to Independent Registered Dental Hygienist business owners. All information provided is private and confidential and will not be shared with any third parties.
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Name
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First and last name
Your answer
Email
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Your answer
Phone number
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Your answer
Dental hygiene institution attended and year of graduation
Your answer
BUSINESS INFORMATION
Business Name
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Your answer
Is your business registered in Ontario? Please provide master business license number
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Your answer
Are you able to provide a copy of your business registration?
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Yes
No
Business Address
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Your answer
Business Website and/or social media links
Your answer
Mailing address if different from business address
Your answer
By submitting this information you ensure the following are true
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In good standing with the College of Dental Hygienists of Ontario
Authorized to self-initiate in the province of Ontario
Owner or co-owner of an independent dental hygiene practice (mobile, storefront or other) in Ontario
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