Reinstatement of a Lapsed License

Before applying for licensure, please familiarize yourself with the general licensing policies.

 

An applicant for reinstatement of a Connecticut license that has lapsed due to nonrenewal shall arrange for the submission the following documentation directly to this office from the source:

 

A completed, notarized application with photo and fee in the amount of $315.00.  Please make the check or money order payable to, “Treasurer, State of Connecticut”;

 

The applicant’s current curriculum vitae (CV) or synopsis of professional activity since completion of the applicant's master's or doctoral degree;

 

Verification of any out-of-state license held, current or expired, submitted directly to this office from the source.  Please contact the jurisdiction prior to submission of the request as some may charge a fee for this service;

 

Verification of completion of current certification.

 

Verification from the appropriate authority confirming the applicant's most recent employment as a genetic counselor including dates and overall evaluation of the applicant's ability to practice with reasonable skill and safety.  If the applicant is in private practice, a letter from another practitioner with whom the applicant has referred patients will suffice.  Such letter shall indicate dates of the referral relationship and an evaluation of the applicant's ability to practice with reasonable skill and safety.

 

Typically, applicants for reinstatement who have not been in active, clinical practice for longer than five years are required to complete a period of refresher training.  Applicants to whom this applies will receive further information from the Department upon receipt of all required documentation.

 

All supporting documentation should be forwarded from the source to:

 

Connecticut Department of Public Health

Genetic Counselor Licensing

410 Capitol Ave., MS #12 APP

P.O. Box 340308

Hartford, CT 06134

Phone: (860) 509-7603

Fax:  (860) 707-1980

Email:  dph.dentalteam@ct.gov