How Palo Alto College uses the HSRT in admissions
Palo Alto College (part of the Alamo Colleges District) uses a multi-stage selection process for Dental Hygiene. Applicants are first ranked by Science GPA, then overall GPA, then observation hours. The top 45 qualified applicants are invited to sit for the HSRT. After HSRT scores are ranked, the top 30 are offered seats. In the event of a tie, the HSRT "Evaluation" sub-score is used as the tiebreaker.
You must first rank in the top 45 on GPA and observation hours before being invited to take the HSRT. Then your HSRT score determines whether you make the final 30. All Sciences courses must have a minimum 3.5 GPA and be less than 5 years old. Minimum 20 observation hours across 3 different dental office settings are required.
HSRT testing at Palo Alto College
- Location: Any computer with proctoring access (remote proctoring available)
- Fee: $20 (non-refundable)
- Format: 33 multiple-choice questions, Untimed time limit. Unanswered questions scored as incorrect. You can navigate forward and backward during the exam.
- How to register: Application is through the ADEA DHCAS (Dental Hygiene Centralized Application Service) — opens January 26, 2026 for the Class of 2028. Only the top 45 applicants receive an access code and payment instructions for the HSRT. Upload your digital score report after completion.
Retake policy
The HSRT can be taken once per application cycle. There are no retakes within the same cycle. If not admitted, you must reapply through ADEA DHCAS in the next cycle to retake the HSRT.
About the HSRT exam
The Health Sciences Reasoning Test is developed by Insight Assessment. Unlike the TEAS or HESI, it does not test science, math, or vocabulary. It measures five critical thinking skills: analysis, inference, evaluation, inductive reasoning, and deductive reasoning. At Palo Alto College, the HSRT-AD consists of 33 questions with a Untimed time limit.
Texas allied health programs use the HSRT because dental hygiene aas requires strong clinical decision-making ability. The HSRT is designed to assess whether applicants can reason through novel problems — the core skill of clinical practice.
How to prepare for the HSRT at Palo Alto College
Because there is no content to memorize, HSRT preparation looks different from TEAS or HESI prep. Effective preparation involves:
- Understanding the five skill areas tested on the HSRT
- Taking a baseline diagnostic to identify your weakest subscale
- Practicing argument analysis, inference, and logical reasoning with HSRT-format questions
- Completing full-length practice exams under realistic conditions (Untimed time limit at Palo Alto College)
- Reviewing every wrong answer by skill area, not just overall score
StudyBuddy is the only dedicated HSRT prep platform — 463 practice questions across 10 skill assessments, 38 interactive lessons, and 10 timed practice exams, all built for the specific format and skill areas that Palo Alto College tests.
Registration at Palo Alto College
Application is through the ADEA DHCAS (Dental Hygiene Centralized Application Service) — opens January 26, 2026 for the Class of 2028. Only the top 45 applicants receive an access code and payment instructions for the HSRT. Upload your digital score report after completion.
Contact: alamo.edu/pac/academics/search-programs/professional-and-technical/dental-hygiene/