Board form used to file a complaint against a Dentist, Dental Hygienist or Denturist.
Address Change & Additional Office Form for Dentists and Denturists
Address Change Form for Dental Hygienists
Adverse Occurrence Report
Form used to report any death or incident causing a patient temporary or permanent physical or mental injury occurring in a dental outpatient facility.
Required statement of citizenship or alien status for all license renewals.
Renewal Continuing Education Affidavit Dentist and Dental Consultant
Statement of completed continuing education for Dentists and Dental Consultants. Retired status dentists should call the office for renewal continuing education requirements.
Lists and Labels
Information and Order Form for mailing lists and mailing labels.
Renewal Continuing Education Affidavit Dental Hygienist
Statement of completed continuing education for dental hygienists. Retired status dental hygienists should call the office for renewal continuing education requirements.
Address Change Form Anesthesia & Sedation Permits