TABLE OF CONTENTS REGULATIONS ORDRE DES HYGIÉNISTES DENTAIRES DU QUÉBEC

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2 TABLE OF CONTENTS REGULATIONS ORDRE DES HYGIÉNISTES DENTAIRES DU QUÉBEC 1- Code of ethics of members of the Ordre des hygiénistes dentaires du Québec (c. C-26, r. 140) Regulation respecting certain acts that may be performed by dental hygienists (c. D-3, r.3) Regulation respecting the business of the board of directors, executive committee and general meetings of the Ordre des hygiénistes dentaires du Québec (c. C-26, r. 135) Regulation respecting the professional liability insurance of the Ordre des hygiénistes dentaires du Québec (c. C-26, r. 136) Regulation respecting the legal authorizations to practise the profession of dental hygienist outside Québec that give access to the permit of the Ordre des hygiénistes dentaires du Québec (c. C-26, r.137) Regulation respecting cabinets and effects of members of the Ordre des hygiénistes dentaires du Québec (c. C-26, r. 138) Regulation respecting certain terms and conditions for permits to be issued by the Ordre des hygiénistes dentaires du Québec (c. C-26, r.139) Regulation respecting the professional inspection committee of the Ordre des hygiénistes dentaires du Québec (c. C-26, r. 141) Regulation respecting the committee on training of dental hygienists (c. C-26, r. 142)... 37

3 10- Regulation respecting elections to the board of directors of the Ordre des hygiénistes dentaires du Québec (c C-26, r. 143 ) Regulation respecting the standards for equivalence of diplomas or training for the issue of a permit by the Ordre des hygiénistes dentaires du Québec (c. C-26, r.144) Regulation respecting the procedure for the conciliation and arbitration of accounts of members of the Ordre des hygiénistes dentaires du Québec (c. C-26, r.145) Regulation respecting refresher training periods of the members of the Ordre des hygiénistes dentaires du Québec (c. C-26, r. 146) Regulation dividing Québec into regions for the purposes of elections to the board of directors of the Ordre des hygiénistes dentaires du Québec (c. C-26, r. 147) Dental Act (R.S.Q., c. D-3) Regulation respecting the diplomas issued by designated educational institutions which give access to permits of specialist's certificates of professional orders (c. C-26, r.2 ) (extracted only) Regulation respecting the annual reports of professional orders (c. C-26, r.8) Regulation respecting the roll of professional orders (c. C-26, r.9) Regulation respecting the issue of certificates of knowledge of the official language for the purpose of admission to professional orders and certain equivalents to those certificates (c. C-11,r.4)....97

4 Éditeur officiel du Québec Updated to 1 May 2011 This document has no official status. c. C-26, r. 140 Code of ethics of members of the Ordre des hygiénistes dentaires du Québec Professional Code (R.S.Q., c. C-26, s. 87) DIVISION I DUTIES AND OBLIGATIONS TOWARDS THE PUBLIC 1. A dental hygienist shall support every measure likely to improve the quality and availability of professional services in the field in which he practises, unless he has sound reasons to the contrary. He shall keep himself up to date on developments and maintain his competence in that field. O.C , s In the practice of his profession, a dental hygienist shall bear in mind ail the foreseeable consequences that his practice, research and work may have on society. O.C , s A dental hygienist shall promote education and information measures in the field in which he practises. In the practice of his profession, he shall also, unless he has sound reasons to the contrary, take the necessary steps to ensure that such education and information are provided. O.C , s. 3. DIVISION II DUTIES AND OBLIGATIONS TOWARDS CLIENTS 1. General provisions 4. Before accepting an assignment, a dental hygienist shall bear in mind the limitations on his skills, his knowledge and the means at his disposal. He shall not, in particular, undertake work for which he is not sufficiently prepared without obtaining the necessary assistance. O.C , s A dental hygienist shall at ail times acknowledge his clients right to consult a colleague or a member of another professional order. O.C , s A dental hygienist shall refrain from practising in conditions likely to compromise the quality of his services. O.C , s. 6.

5 7. A dental hygienist shall seek to establish a relationship of mutual trust between himself and his client. To that end, the dental hygienist shall, in particular, (1) refrain from practising his profession in an impersonal manner; and (2) conduct his interviews in such a way as to respect his client's personal values and convictions, where the latter informs him thereof. O.C , s A dental hygienist shall refrain from intervening in the personal affairs of his client with regard to matters not within the competence generally acknowledged as belonging to the profession, so as not to unduly restrict his client's autonomy. O.C , s A dental hygienist shall refrain from performing acts contrary to current standards or knowledge in the field. O.C , s A dental hygienist who has been informed that an inquiry is being held or who has been served with a notice of a complaint regarding the dental hygienist's conduct or professional competence shall not harass, intimidate or threaten the person who has requested the inquiry or any other person involved in the events related to the inquiry or the complaint. A dental hygienist shall not harass, intimidate or threaten reprisal against a person who intends to request that such an inquiry be held or intends to lodge such a complaint. O.C , s Integrity 10. A dental hygienist shall fulfil his professional obligations with integrity. O.C , s A dental hygienist shall avoid any false representations as to his level of competence or the effectiveness of his own services or of those generally offered by members of his profession. If the good of the client so requires and with his authorization, he shall consult a colleague or a member of another professional order or refer the client to one of those persons. O.C , s A dental hygienist shall refrain from expressing an opinion or giving advice that is contradictory or incomplete. To that end, he shall endeavour to have full knowledge of the facts before expressing an opinion or giving advice. O.C , s A dental hygienist shall take reasonable care of any property entrusted to him by a client, and he may not lend it or use it for purposes other than those for which it was entrusted to him. O.C , s. 13.

6 3. Availability and diligence 14. A dental hygienist shall show a reasonable degree of availability and diligence in the practice of his profession. O.C , s In addition to opinions and advice, a dental hygienist shall provide his client with any explanation necessary for understanding and evaluating the services rendered to him. O.C , s A dental hygienist shall account for his services to his client when so requested by the latter. O.C , s A dental hygienist shall be objective and impartial when persons other than his clients ask him for information. O.C , s A dental hygienist may not cease to act for the account of a client, unless he has fair and reasonable grounds to the contrary. Fair and reasonable grounds include the following, in particular: (1) loss of the clients confidence; or (2) lack of cooperation on the part of the client. O.C , s Before ceasing to act for the account of a client, a dental hygienist shall ensure that such action will not be detrimental to his client. O.C , s Responsibility 20. A dental hygienist shall, in the practice of his profession, fully commit his personal civil liability. It is thus prohibited for him to include in any contract for professional services a clause excluding such liability directly or indirectly, in whole or in part. O.C , s Independence and impartiality 21. In the practice of his profession, a dental hygienist shall subordinate his personal interest to that of his client. O.C , s A dental hygienist shall ignore any intervention by a third party which could influence the performance of his professional duties to the detriment of his client. O.C , s. 22.

7 23. A dental hygienist shall at all times safeguard his professional independence and avoid any situation which might place him in a conflict of interest. O.C , s A dental hygienist is in a conflict of interest in the following cases, in particular: (1) the interests in question are such that he might tend to favour certain of them over those of his client or that his judgment and loyalty towards the latter might be unfavourably affected; (2) he derives a direct or indirect, real or potential, personal benefit, in his capacity as advisor for a given act; (3) he shares his fees with another person and such sharing does not correspond to the apportionment of services provided and responsibilities imparted; or (4) except for the remuneration to which he is entitled, he pays or offers or undertakes to pay any benefit, rebate or commission in connection with the practice of his profession. O.C , s As soon as he ascertains that he is in a situation of conflict of interest, a dental hygienist shall notify his client accordingly and request his authorization to continue the assignment. O.C , s A dental hygienist shall avoid performing unnecessary or superfluous professional acts in the practice of his profession and shall refrain from performing any service that is inappropriate or disproportionate to the needs of his client. O.C , s Profession & secrecy 27. A dental hygienist is bound by professional secrecy. O.C , s A dental hygienist may only be released from professional secrecy by the written authorization of his client or where so ordered by law. O.C , s Where a dental hygienist asks a client to give him confidential information or where he allows such information to be given to him, he shall ensure that the client is fully aware of the purpose of the interview and of the various uses which could be made of such information. O.C , s A dental hygienist shall not disclose that a person has had recourse to his services, unless the nature of the case so requires. O.C , s. 30.

8 31. A dental hygienist shall avoid indiscreet conversations concerning a client and the services provided to him. O.C , s A dental hygienist shall not make use of confidential information to the detriment of a client or with a view to obtaining a direct or indirect benefit for himself or for another person. O.C , s Lifting of professional secrecy to protect individuals O.C , s In addition to the cases provided for in section 28, a dental hygienist may communicate information that is protected by professional secrecy to prevent an act of violence, including a suicide, where the dental hygienist has reasonable cause to believe that there is an imminent danger of death or serious bodily injury to a person or an identifiable group of persons. However, the dental hygienist may only communicate the information to a person exposed to the danger or that person's representative, or to the persons who can corne to that person's aid. The dental hygienist may only communicate such information as is necessary to achieve the purposes for which the information is communicated. If the interest of the person or persons exposed to the danger so requires, the dental hygienist shall consult a colleague, a member of another professional order, or any other qualified person, provided the consultation will not prejudicially delay the communication of the information. O.C , s A dental hygienist who, pursuant to section 32.1, communicates information protected by professional secrecy to prevent an act of violence shall (1) enter the following particulars in the clients record, in a sealed envelope: (a) the reasons supporting the decision to communicate the information, including the name of the person who caused the dental hygienist to communicate the information and the name of the person or group of persons exposed to a danger; and (b) the date, time and content of the communication, the mode of communication, and the name of the person to whom the information was given; and (2) within 5 days of the communication, send the syndic a notice regarding the communication that includes the reasons supporting the decision to communicate the information and the date and time it was communicated. O.C , s Accessibility of records and corrections 33. A dental hygienist shall respect the right of his client to examine documents concerning him in any record established in his respect, and to obtain a copy of such documents. However, a dental hygienist may refuse access to such information where its disclosure would be likely to cause serious harm to the client or to a third person. O.C , s. 33.

9 34. A dental hygienist shall respect the right of his client to cause to be corrected, in a document concerning him in any record established in his respect, any information that is inaccurate, incomplete or ambiguous with regard to the purpose for which it was collected. He shall also respect the right of his client to cause to be deleted any information that is outdated or not justified by the purpose of the record, or to prepare written comments and file them in the record. O.C , s A dental hygienist holding the record that is the subject of an application for access or correction by the client shall follow up on such application with diligence, within 20 days of the date of the application. O.C , s Access to information in a record shall be free of charge. However, a fee not exceeding the cost for transcribing, reproducing or forwarding the information may be charged to the client. A dental hygienist who intends to charge a fee under this section shall inform the client of the approximate amount exigible before proceeding to the transcription, reproduction or forwarding. O.C , s A dental hygienist who refuses to grant a client's application for access or correction shall notify him of such refusal in writing, with reasons, and shall inform him of his recourses. O.C , s A dental hygienist who grants an application for correction shall issue to the client making such application, free of charge, a copy of any altered or added information or, as the case may be, an attestation that the information was withdrawn. That client may require that the dental hygienist forward a copy of that information or, as the case may be, of that attestation to the person who gave the information to the dental hygienist or to any person to whom the information was provided. O.C , s A dental hygienist who holds information that is the subject of an application for access or correction shall, if he does not grant the application, keep it as long as required for the client to exhaust the recourses provided for by law. O.C , s Determination and payment of fees 40. A dental hygienist shall charge and accept fair and reasonable fees that are justified by the circumstances and are in proportion to the services rendered. In determining his fees, a dental hygienist shall, in particular, bear in mind the following factors: (1) the time spent in performing the professional service; and (2) the complexity and scope of the service; and (3) the performance of unusual services or services requiring exceptional competence or speed. O.C , s. 40.

10 41. A dental hygienist shall provide his client with all the explanations necessary for understanding his statement of fees and terms of payment. O.C , s A dental hygienist shall refrain from requiring advance payment for his services; he shall, however, inform his client of the foreseeable approximate cost of his services. O.C , s For a given service, a dental hygienist shall accept fees from one source only, unless there is an explicit agreement to the contrary among all interested parties. He shall accept payment of those fees only from his client or his representative. O.C , s A dental hygienist may collect interest on outstanding accounts only after having duly notified his client to that effect. Interest charged shall be at a reasonable rate. O.C , s Before having recourse to legal preceedings, a dental hygienist shall exhaust ail other means at his disposal to obtain payment of his fees. O.C , s A dental hygienist shall refrain from selling his accounts to anyone other than a colleague. O.C , s Where a dental hygienist appoints another person to collect his fees, he shall, insofar as possible, ensure that the latter will act with tact and moderation. O.C , s. 47. DIVISION III DUTIES AND OBLIGATIONS TOWARDS THE PROFESSION 1. Derogatory acts 48. In addition to those mentioned in sections 57, 58, 59.1 and 59.2 of the Professional Code (R.S.Q., C- 26), the following acts are derogatory to the honour or dignity of the profession: (1) urging a person in an insistent or repetitive manner to use his professional services; (2) communicating with the complainant without the prior written permission of the syndic or his assistant, when the member is informed that an inquiry into his professional conduct or competence is being made or when a complaint has been served on him; (3) failing to notify the Order that there is reason to believe that another dental hygienist is incompetent or has violated the professional code of ethics; (4) requiring, accepting or offering any benefit by using his professional title to advertise a commercial product for the purpose of promoting its sale;

11 (5) consulting, collaborating or coming to an agreement with a person who he suspects does not have the appropriate scientific knowledge required to treat the client; (6) voluntarily and without sufficient reason abandoning a client requiring supervision while he is in the course of treatment; (7) refusing, without good reason, to provide care; (8) claiming fees for professional acts which have not been performed or are falsely described; (9) issuing a receipt or other document falsely showing that services have been rendered; (10) billing a client for ail or part of a professional service when its cost is assumed by a third party; (11) entering false information in the record of a client or adding notes under the signature of another person; (12) altering notes previously entered in the record of a client or replacing any part thereof with intent to falsify them; (13) failing to display his name in his place of work, followed by the title "Dental Hygienist" or, if that is not feasible, failing to wear a name tag showing his name followed by the title "Dental Hygienist"; (14) failing to report to the Order any person who uses the title of dental hygienist without being entered on the roll of the Order or any candidate who does not meet the conditions for admission to the Order; or (15) practising his profession while under the influence of alcohol, drugs, hallucinogens, narcotic or anaesthetic preparations, or any other substance which may cause intoxication, impaired or disturbed faculties, or unconsciousness. O.C , s Relationship with the Order and colleagues 49. A dental hygienist who is requested by the Order to become a member of a council for the arbitration of accounts, a disciplinary council or a professional inspection committee shall agree to serve, unless there are exceptional circumstances. O.C , s A dental hygienist shall answer promptly ail correspondence received from the syndic, an assistant syndic, inspectors, investigators or members of the professional inspection committee of the Order. O.C , s A dental hygienist shall not abuse a colleague's good faith or commit a breach of trust or use unfair practices in dealing with him. He shall not, in particular, take credit for work done by a colleague. O.C , s A dental hygienist who is consulted by a colleague shall give the latter his opinion and recommendations as promptly as possible. O.C , s. 52.

12 53. A dental hygienist who is called upon to collaborate with a colleague shall safeguard his professional independence. If he is asked to perform a task that is against his conscience or principles, he may ask to be exempted therefrom. O.C , s Contribution to the advancement of the profession 54. A dental hygienist shall, insofar as he is able, contribute to the development of his profession, particularly by sharing his knowledge and experience with his colleagues and students and by taking part in the courses and continuing education activities of the Order. O.C , s. 54. DIVISION IV RESTRICTIONS AND OBLIGATIONS WITH REGARD TO ADVERTISING 55. A dental hygienist shall not, by any means whatsoever, engage in or allow the use of advertising that is false, misleading, incomplete, likely to mislead or intended to exploit or abuse persons who might be physically or emotionally vulnerable. O.C , s A dental hygienist shall not claim specific qualities or skills, in particular with regard to his level of competence or the scope or effectiveness of his services, unless he is able to justify such a claim upon request, in accordance with the laws and regulations applicable to the profession. O.C , s In his advertising, a dental hygienist may not use or allow the use of any endorsement or testimonial concerning him, except prizes for excellence and other awards connected with a contribution or achievement which has brought honour to the profession. O.C , s A dental hygienist may not use advertising methods likely to denigrate or devalue the competence, knowledge or services of a colleague or of another professional. O.C , s Any advertisement shall indicate the name and title of the professional. O.C , s Where a dental hygienist states his professional fees in an advertisement, he shall do so in a manner that is understandable to persons having no special knowledge of dentistry, and he shall (1) set fixed prices; (2) specify the nature and extent of the services included in the prices; (3) indicate whether the expenses and other charges are included in the prices; and (4) indicate whether additional services might be required, for which an additional amount might be charged.

13 Any such price shall remain in effect for a minimum period of 90 days after it is last broadcast or published. However, a dental hygienist may agree with a client on a price lower than the price broadcast or published. O.C , s In a declaration or advertisement, a dental hygienist may not, by any means whatsoever, emphasize a special price or discount more than the service offered. O.C , s A dental hygienist shall keep a complete copy of any advertisement in its original form, for the period extending from the last authorized broadcast or publication of such advertisement to the next regular visit of the professional inspection committee of the Order. Such copy shall be given to the syndic or assistant syndic upon request. O.C , s. 62. DIVISION V (Revoked) O.C , Div. V ; O.C , s The dental hygienist reproducing the graphic symbol of the Order in advertisements shall ensure that the symbol complies with the one adopted by a resolution of the board of directors. O.C , s. 63; O.C , s Where a dental hygienist uses the graphic symbol of the Order in an advertisement carried by electronic media, he shall add the following notice to the advertisement: "This advertisement does not originate from and does not commit the liability of the Ordre des hygiénistes dentaires du Québec". O.C , s This Regulation replaces the Code of ethics of dental hygienists (R.R.Q., 1981, c. C-26, r. 100). O.C , s Division IV of this Regulation replaces the Regulation respecting advertising by dental hygienists (R.R.Q., 1981, c. C-26, r. 107). O.C , s (Omitted). O.C , s. 67. O.C , 1997 G.O. 2, 2260 O.C , 2003 G.O. 2, 2714 O.C , 2006 G.O. 2, 2942

14 S.Q. 2008, c. 11, s. 212 O.C , 2008 G.O. 2, 5017

15 Éditeur officiel du Québec Updated to 1 May 2011 This document has official status. c. D-3, r. 3 Regulation respecting certain acts that may be performed by dental hygienists Dental Act (R.S.Q., c. D-3, s. 19, par. a) DIVISION I SCOPE AND INTERPRETATION 1. In this Regulation, (1) "dental office" or "office" means the place where a dentist provides his professional services; (2) "dental hygienist" means a person entered on the roll of the Ordre professionnel des hygiénistes dentaires du Québec. O.C , s The board of directors of the Ordre des dentistes du Québec is entrusted with seeing to the application of this Regulation, evaluating its content from time to time and consulting with the Ordre professionnel des hygiénistes dentaires du Québec in this respect; it shall receive and as soon as possible study any requests for amendments to this Regulation. O.C , s. 2. DIVISION II AUTHORIZED PERSONS AND CONDITIONS 3. A dental hygienist, in a dental office, may perform the bucco-dental acts listed in Schedule I. O.C , s Before letting a dental hygienist perform an act listed in Schedule I, a dentist must ensure that the dental hygienist possesses sufficient knowledge and training to perform that act. O.C , s A dentist must direct a dental hygienist to stop performing the acts listed in Schedule I, if the dental hygienist does not meet the conditions prescribed in this Regulation. O.C , s A dentist must first examine the patient and establish the diagnosis and the treatment plan before allowing a dental hygienist to perform acts 1 to 9 listed in Schedule I. A dentist must examine the patient before allowing a dental hygienist to perform act 10 listed in Schedule I. O.C , s. 6.

16 7. A dentist must ensure the performance and quality of the act performed by a dental hygienist before the patient leaves his office. O.C , s. 7. DIVISION III FINAL 8. (Omitted). O.C , s (Omitted). O.C , s. 9. SCHEDULE I (ss. 3, 4, 5 and 6) BUCCO-DENTAL ACTS 1. Topical application of a desensitization substance, such as a varnish or adhesive cernent. 2. Inserting and sculpting filling materials. 3. Collecting and gathering together information relative to pulpal vitality tests. 4. Removal of sutures. 5. Placing a temporary filing, without drilling, when the pulp in not exposed. 6. Placing and removing orthodontic bands and braces. 7. Removal of periodontal dressings. 8. Cementing space maintainers. 9. Supra and subgingival scaling, including smoothing the exposed part to the root. 10. Taking radiographs. O.C , Sch. I. O.C , 1991 G.O. 2, 1719 S.Q. 2008, c. 11, s. 212

17 This document has no official status. This document is an administrative translation of the official French version. R e g u l a t i o n r e s p e c t i n g t h e b u s i n e s s o f t h e b o a r d o f d i r e c t o r s, e x e c u t i v e c o m m i t t e e a n d g e n e r a l m e e t i n g s o f t h e O r d r e d e s hygiénistes dentaires du Québec, RRQ, c. C-26, r. 135 Professional Code (R.S.Q., c. C-26, ss. 93, pars. a, e and f and 94, pars. a and b) DIVISION I BOARD OF DIRECTORS OF THE ORDER 1. (Repealed) 2. The vice-president of the order exercises the duties and has the powers of the president in the absence or incapacity of the latter. 3. The secretary of the order acts as a secretary of the board of directors. 4. The members of the board of directors have their meetings at the head office of the order; the president may, however, determine that a meeting will be held somewhere else, at a place he specifies. 5. The members of the board of directors can hold meetings by way of telephone conference call or by any means allowing all participants to communicate verbally with each other. 6. The board of directors seats in regular or extraordinary meetings. During regular meetings, subjects other than those written in the agenda of the meeting can be taken into consideration. During special meetings, only the subjects written in the agenda, as submitted, can be discussed. 7. Regular meetings take place as often as the interest of the order requires. They must take place at least once every four months and not less than four times a year. Special meetings of the board of directors are held upon request of the president or of one quarter of the member of the board of directors. 8. The quorum of the board of directors is the majority of the members of the board of directors and is noted by the president at the beginning of each meeting. If the quorum cannot be reached within thirty minutes following the hour mentioned in the notice, the secretary shall draw up minutes to that effect and indicate the hour of adjournment as well as the name of the members who were present.

18 9. A notice for a board of directors meeting must indicate the date, time and place of the meeting. A regular meeting of the board of directors is convened by the secretary by means of a written notice including a project of the agenda of the meeting, submitted to each member of the board of directors by mail, telegram, fax machine or messenger, at least 5 days before the date of the meeting. A special meeting of the board of directors is convened by the secretary by means of a written notice including a project of the agenda of the meeting, transmitted to each member of the board of directors by mail, telegram, fax machine or messenger, at least 48 hours before the date of the meeting. 10. Notwithstanding subsections two and three of section 9, a board of directors meeting is considered to be regularly convened if all members are present or express themselves in a telephone conference call and waive the notice of convocation. 11. The president draws up the draft of the agenda for each meeting. He can, during a meeting, invert the subjects. However, the adoption of the project of the agenda of the meeting and its amendment require the vote of the majority of the members of the board of directors participating to the meeting. 12. At the first meeting of the board of directors immediately following the coming into office of a director or of the president when elected by universal suffrage, the first subject in the agenda of the meeting must be the oath of secrecy of this member following the form contained in Schedule II of the Professional Code (R.S.Q., c. C-26). 13. In the absence of the president and of the vice-president or when these ones wish to quit the chair, the board of directors designates another member, within the directors elected, to preside the meeting. 14. A proposition of a member will be discussed only if it is supported by another member. 15. A member can propose an amendment and a sub-amendment to a proposition. The vote is first taken on the sub-amendment, secondly on the amendment, and, lastly on the principal proposition. 16. The vote is taken orally or by show of hands unless a majority of the members present request a secret ballot. 17. The statement by the president that a proposal was adopted unanimously, by a majority, or has not been adopted, is proof of this fact without further formality, unless the secret ballot has been requested. Any dissent is registered by the secretary in the minutes of the meeting when the dissident director requires so. 18. A member who is in a situation of conflict of interest on an issue must reveal it to the board of directors, must abstain from voting and withdraw himself. 19. The president is the only person authorized to speak on behalf of the order on matters relating to the affairs of the order or to the practice of the profession. However, the president may designate another person to act as spokesman for the order.

19 20. Any member of the board of directors may express his opinion in public on matters relating to the affairs of the order or to the practice of the profession, provided he expressly warns the public that the ideas he expresses are personal and are not necessarily shared by other members of the board of directors. 21. The board sits in closed sessions. However, it may, when the majority of the members present requests so, hold a public meeting or authorize certain persons to attend or participate in the meeting. DIVISION II EXECUTIVE COMMITTEE 22. The executive committee is composed of 5 members. The president of the order is automatically a member and president of this committee. The elected members of the board of directors shall elect among themselves, by annual vote, 3 members and designate among them the vice president and treasurer. Another member of the executive committee is designated by annual vote of the board of directors among the members appointed by the Office des professions du Québec. 23. The president of the order shall preside sessions of executive committee's members, coordinate their works and ensure their continuity. 24. The vice-president of the order exercises the functions and powers of the president in the absence or incapacity of the latter. 25. The executive committee shall hold its sessions at such times and places determined by it or its president. It holds at least one session every 6 weeks. 26. Sections 5, 6, 8-11, and 21 apply to this section given the necessary modifications. DIVISION III GENERAL MEETING OF MEMBERS OF THE ORDRE 27. The board of directors sets the agenda of a general meeting of members of the order, determines the place and sets the date and time. 28. The agenda of special general meeting, convened at the written request of the number of members of the order required to constitute a quorum, in accordance with section 106 of the Professional Code (RSQ, c. C-26), contains the subjects described in the notice. Only those subjects are discussed. 29. The secretary convene the general assembly with a written notice mailed to each member of the order, to the address given in the roll, at least 60 days, or if it is a special general meeting, at least 5 days, before the date scheduled for the holding of the meeting.

20 Notice of any general meeting indicates the date and time of the meeting, and where it is to be held, and is accompanied by a draft agenda for this meeting and, if necessary, any other document. The secretary shall also send to each director appointed in accordance with section 78 of the Professional Code (RSQ, c. C-26) within the same period, the notice, the draft agenda and any other document sent to members of the order for that meeting. 30. In addition to the way of convocation under the first paragraph of section 29, the secretary may convene the general meeting by a notice published or inserted in a publication which the order sends to each member at the address listed in the roll at least 60 days before the date scheduled for the holding of this meeting; this notice shall be presented in a designated area, of at least 150 cm 2, under the title "NOTICE TO THE ANNUAL GENERAL ASSEMBLY OF MEMBERS OF THE ORDRE DES HYGIÉNISTES DENTAIRES DU QUÉBEC " In this case, the secretary sends to each director appointed in accordance with section 78 of the Professional Code (RSQ, c. C-26), within the same period, a copy of the publication in which the notice was published or inserted and any other document sent to members of the order for this meeting. 31. Any member of the order may request to the board of directors that a subject be written on the draft agenda of a general meeting. This application must be received in writing, at the headquarters of the order, to the attention of the secretary, at least 45 days before the date scheduled for holding the general meeting. 32. The quorum of any general meeting is 20 members. The president determines whether there is a quorum before the beginning of each meeting. If the quorum cannot be reached within thirty minutes after the time specified in the notice, the secretary shall draw up minutes for this purpose, lists the names of members present and convene another general meeting at the time and place he judges appropriate to obtain a quorum. 33. General meeting decisions are taken by the majority vote of members present to the assembly. In the case of a tie-vote, the president has a casting vote. DIVISION IV HEADQUARTERS, SEAL, LOGO, BANK SIGNATURES, REGISTERED MAIL 34. The headquarters of the order is located on the territory of the Metropolitan Community of Montreal or any other place determined by the board of directors. 35. The seal of the order is the one that was authorized by resolution of the board of directors and whose original is kept by the secretary of the order. Its affixing on a document does not give the latter an official value unless it is accompanied by the signature of the person authorized to do so by the board of directors. 36. The logo is the one that was authorized by resolution of the board of directors and must appear with the name of the order on correspondence and documents of the order.

21 37. For the purposes of banking transactions, at least two signatures over four are required from the persons authorized thereto by the board of directors. 38. Ail documents must be sent by registered mail when proof of receipt may be required, unless otherwise established by regulation. DIVISION V MISCELLANEOUS PROVISIONS 39. If none of the procedural rules laid down in the Professional Code (RSQ, c. C-26) or in this Regulation provides a solution to a particular case, the rules provided in "Procedure of the deliberative assemblies" by Victor Morin, 1994 edition, shall apply with necessary modifications. 40. This Regulation replaces the Regulation respecting the affairs of the Bureau, the administrative committee and the general assemblies of the Ordre des hygiénistes dentaires du Québec (D , ). 41. (Omitted)

22 This document has no official status. This document is an administrative translation of the official French version. Regulation respecting the professional liability insurance of the Ordre des hygiénistes dentaires du Québec, RRQ, c. C-26, r. 136 Professional Code (R.S.Q., c. C-26, s. 93, par. d) 1. Every dental hygienist registered on the roll of the Ordre des hygiénistes dentaires du Québec and who exercises, full-time or part-time, professional activities referred to in paragraph k of section 37 of the Professional Code (R.S.Q., c. C-26) or those that a regulation passed under paragraph a of section 19 of the Dental Act (R.S.Q., c. D-3) enable him to exercise, must have an insurance contract providing coverage against the liability he may incur owing to fault or negligence committed in the practice of his profession. 2. However, if the order has contracted for all or part of its members a policy of liability insurance in accordance with this Regulation, a dental hygienist can join, for the purposes of section 1, this collective insurance. 3. An insurance certificate must be provided to each dental hygienist joining the collective insurance contracted by the Order and a copy of the insurance policy must be delivered to him upon written request. 4. The insurance contract must include the following minimum requirements: 1 a coverage of at least $ 1,000,000 per claim and for all claims related to the warranty period; 2 the commitment of the insurer to pay in lieu of the insured, up to the amount of the coverage, any amount that the insured may legally be required to pay to a third party as damages and interest with respect to a claim during the warranty period or before that period, but for which a claim is made during the warranty period, and resulting from a fault or negligence committed by the insured or his agents in the practice of their profession; 3 the commitment of the insurer to issue to the insured who voluntarily or permanently ceases to exercise his profession, white the insurance is in force, or to his heirs if he dies, an insurance contract complying with the requirements of this Regulation for a period of 12 months, starting either from the date of the cessation of practice or death, as the case may be, and whose coverage extends to the faults or negligence committed by the insured or its agents in the practice of their profession; 4 the commitment of the insurer to take up the interest of the insured, to assume his defense in any action brought against him before a civil court and to pay, in addition to the amounts covered by insurance coverage, all costs and expenses resulting from actions filed against the insured, including those of defense and interest on the amount of insurance; 5 the commitment of the insurer to give notice to the secretary of the order within 30 days of the modification, termination or non-renewal of the insurance contract.

23 5. The exclusions generally accepted in professional liability insurance may be provided in the insurance contract. However, an exclusion regarding acts committed under the influence of narcotics, sleeping pills, drugs or alcohol may not be enforceable against third party referred to under the second paragraph of section 4 to whom the insured is legally obligated to pay damages. 6. Unless he joins the collective liability insurance contracted by the order, the dental hygienist referred to under section 1 shall provide the secretary of the order, before April l e of each year, a statement following which he holds a professional liability insurance in accordance with the requirements of this Regulation, valid at least until April 1 st of the next year and including the name of the insurer that issued it. The dental hygienist, registered or re-registered on the roll of the order after April 1 5t, must provide the statement required in the first paragraph on the date of his registration or re-registration. 7. This Regulation replaces the Regulation respecting the professional liability insurance of the Ordre professionnel des hygiénistes dentaires du Québec (D , ). 8. (Omitted)

24 This document has no official status. This document is an administrative translation of the official French version. Regulation respecting the legal authorizations to practise the p r o f e s s i o n o f d e n t a l h y g i e n i s t o u t s i d e Q u é b e c t h a t g i v e access to the permit of the Ordre des hygienistes dentaires du Québec, RRQ, c. C-26, r. 137 Professional Code (R.S.Q., c. C-26, s. 94, par. q) 1. The legal authorization to practise the profession of dental hygienist issued in another province or territory of Canada shall give access to the dental hygienist permit issued by the Board of Directors of the Ordre des hygiénistes dentaires du Québec. 2. To obtain a permit from the Order, a person holding a legal authorization within the meaning of section 1 shall apply in writing to the Secretary of the Order and enclose evidence that he holds such legal authorization as well as payment of the fees for the examination of his file, as prescribed pursuant to paragraph 8 of section of the Professional Code (R.S.Q., c. C-26). 3. (Omitted)

25 This document has no official status. This document is an administrative translation of the official French version. Regulation respecting cabinets and effects of members of the Ordre des hygiénistes dentaires du Québec, RRQ, c. C-26, r. 138 Professional Code (R.S.Q., c. C-26, s. 91) DIVISION I HOLDING OF THE CABINET 1. In this division, the word "cabinet" means the place where a dental hygienist provides his professional services. 2. A dental hygienist shall arrange his cabinet to ensure the respect of confidentiality. The layout of the premises of a cabinet shall meet the standards generally accepted for the practice of his profession. 3. A dental hygienist shall equip his cabinet with a waiting room designed to receive persons to whom he renders professional services. 4. A dental hygienist shall post to public view, in his cabinet, his permit of practice or a copy thereof. 5. A dental hygienist shall post to public view, in his waiting room, an updated copy of the Code of ethics of members of the Ordre des hygiénistes dentaires du Québec (c. C-26, r. 140) and of the Regulation respecting the procedure for the conciliation and arbitration of accounts of members of the Ordre des hygiénistes dentaires du Québec (c. C-26, r. 145). He shall also inscribe on each copy the address and phone number of the order. 6. Subject to sections 4 and 5 and in addition to decorative or utilitarian objects, a dental hygienist shall only display in his cabinet the diplomas as well as material relevant to the exercise of the profession and used for education and public information. 7. A dental hygienist shall have in his cabinet the equipment necessary to ensure sterilization of instruments and meet the standards of hygiene, health and safety of the premises suitable for the practice of his profession. 8. A dental hygienist who is absent from his cabinet for more than 5 consecutive business days shall take the necessary measures to inform clients trying to reach him about the duration of his absence and the procedure to follow in case of emergency.

26 DIVISION II HOLDING, DETENTION AND MAINTENANCE OF EFFECTS IN PRACTICE 1. General disposition 9. Nothing in this division shall be interpreted as excluding the use of computers or other technical means for the constitution or keeping of records, books and registers of a dental hygienist, provided that the accuracy and privacy of information is respected, as well as for the maintenance of his equipments. 2. Keeping, possession and maintenance of records 10. Subject to section 18, every dental hygienist shall, where he practices, maintain or contribute to the maintenance of a record for each client. 11. A dental hygienist shall record or ensure that the following elements and information are recorded in each record: 1 the opening date of the record and of each consultation; 2 the first and the last name, address, date of birth and gender of the client; 3 the anamnesis and dental history of the client; 4 the observations, examination results, elements diagnosed by the dentist and, as the case may be, the report of the radiological examination; 5 the diagnosis of the dentist and the treatment plan determined by the dentist or the dental hygienist, as the case may be; 6 the treatments performed; 7 the date of a reference to a health care professional, the name of the latter and the purpose of the reference; 8 opinions, advice or specific information provided to the client. The dental hygienist shall sign or initial any entry he makes himself and which is in the record. 12. A dental hygienist shall keep up to date or ensure that each record is kept up to date until he ceases to render professional services to the person concerned by the record. 13. A dental hygienist shall keep or ensure that each record is kept for at least 5 years from the date of the last service rendered. 14. A dental hygienist shall store or ensure that his records are stored in a local or furniture that can be locked or otherwise, which the public cannot access freely. 15. When a document concerning a client is removed at the request of the latter, the dental hygienist shall insert or ensure that is inserted into the record a note signed by the client indicating the nature of the document and the date of withdrawal.

27 16. When a record is transferred to another professional at the request of a client, the dental hygienist shall keep or ensure that a copy of this record is kept and insert a note signed by the client. 17. The dental hygienist practicing in a group may constitute only one record per client. In this case, the treating dental hygienist shall sign or initial following any inscription to a report or document he introduces in a record. Each dental hygienist practicing in a group has an obligation to ensure that is given to one of them who leaves the group, at his request and expense, a copy of the record of clients who have consulted him. Clients shall have given written permission to the transfer. 18. When a dental hygienist practices in an institution governed by the Act respecting health services and social services (R.S.Q., c. S-4.2) or the Act respecting health services and social services for Cree Native persons (R.S.Q., c. S-5), the beneficiary's record referred to in these laws and in the regulations issued under those laws shall be considered, for the purposes of this Regulation, as the record of the dental hygienist if he can register or ensure that is registered, as a report or otherwise, items and information referred to in section 11; in this case, the dental hygienist is not required to comply with sections 12 to A dental hygienist who holds drugs, poisons and dangerous products or substances shall retain or ensure they are kept in a locked place inaccessible to the public and clients. 3. Maintenance of equipments 20. The dental hygienist shall ensure that all equipment he uses is maintained to ensure its proper functioning. 21. The dental hygienist shall verify or ensure that every piece of equipment which may be inspected or calibrated is verified, and this, as often as the optimum efficiency requires it, taking into account equipment's specifications and generally accepted scientific standards. 22. The dental hygienist shall keep up to date or ensure that is kept up to date a register containing the date of verification, the identification of equipment, the result obtained and the signature of the person having made the verification. 23. Healthiness measures in accordance with generally accepted scientific standards shall be taken to avoid dangers of contamination and epidemic. DIVISION III DISPOSITION OF EFFECTS ON TERMINATION OF EXERCISE 24. This division sets out the rules, conditions, terms of conservation, of use, of management, of administration, of transfer, of provisional custody of the records, books, registers, drugs, poisons, products, substances, devices and equipments owned by a dental hygienist who ceases to practice his profession. However, this division does not apply to a dental hygienist who ceases to practise while employed by an individual or legal person, a company or a government.