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PLEASE NOTE:  These Adobe Acrobat forms require the Adobe Reader to view and/or print.  If you do not have Adobe Reader installed on your computer, click the "Get Adobe Reader" button on the right to download the reader free of charge from the Adobe website.

Remember to include your e-mail address when completing your application.  Providing your e-mail address on your application or other form allows us to send you a confirmation notice when we receive your application.  This notice will contain instructions on how to check the status of your application.  You will also receive a notification when your license is issued.


Adobe Acrobat File CE for Volunteer Work Reporting Form
Adobe Acrobat File Dental Application
Adobe Acrobat File Dental Conscious Sedation - General Anesthesia Additional Site Evaluation Application
Adobe Acrobat File Dental Continuing Education Audit Form
Adobe Acrobat File Dental Credentials Application
Adobe Acrobat File Dental Faculty and Dental Hygiene Faculty License Application
Adobe Acrobat File Dental Hygiene Application
Adobe Acrobat File Dental Hygiene Credentials Application
Adobe Acrobat File Dental or Dental Hygiene Reinstatement Application
Adobe Acrobat File Dental Out of State Verification Form
Adobe Acrobat File Dental Public Health Application
Adobe Acrobat File Dental Reference Form
Adobe Acrobat File Dental Screening Application
Adobe Acrobat File Dental Sedation Application
Adobe Acrobat File Duplicate License-License Verification Order Form
Adobe Acrobat File Fee Schedule (Rev 9-05)
Adobe Acrobat File Guidelines for GA-CS On-Site Evaluation Form
Adobe Acrobat File Jurisprudence Examination for Dental Hygienists
Adobe Acrobat File Jurisprudence Examination for Dentists
Adobe Acrobat File Licensure Overview Committee Report Form
Adobe Acrobat File Monitoring Physician Agreement
Adobe Acrobat File Petition for Dental Variance or Waiver
Adobe Acrobat File Qualified Alien Status Form
Adobe Acrobat File Quarterly Self Report Form
Adobe Acrobat File Supervising Dentist Agreement
Adobe Acrobat File Supervising Dentist Report Form
Adobe Acrobat File Volunteers in Dentistry Application
Adobe Acrobat File Wall Certificate Order Form
Adobe Acrobat File Online-Home Study Continuing Education Sponsor-Provider Application Form
Adobe Acrobat File Roster Request Form
Adobe Acrobat File Secure & Verifiable Document Submission Cover Sheet