Permit | Certification Applications | Forms
|
Application | Form |
For | Paper Format | Online Format |
| General Anesthesia Admin Permit Application | Dentists | Not Available Yet | |
| Anesthesia Admin Permit Renewal Application | Dentists | Not Available Yet | |
| General Anesthesia Site Permit Application | Dentists | Not Available Yet | |
| Moderate Sedation (13+) Site Permit Application | Dentists | Not Available Yet | |
| Moderate Sedation Admin (13+) Permit Application | Dentists | Not Available Yet | |
| Pediatric Moderate Sedation Admin Permit Application | Dentists | Not Available Yet | |
| Five Year Re-Evaluation Request Form | Dentists | Not Available Yet | |
| License Certification Request Application | All License Types | Not Available Yet | |
| Certification of Proficiency for Local Anesthesia | Nitrous Oxide | Dental Hygienists | Not Available Yet | |
| Local Anesthesia/Nitrous Oxide Permit Application | Dental Hygienists | Not Available Yet | |
| Local Anesthesia/Nitrous Oxide Duplicate Request Form | Dental Hygienists | Not Available Yet | |
| Public Health Special Endorsed Individual Application | Dental Hygienists | Online | |
| Certification of Specialty Program Completion | Dentists | Not Available Yet | |
| Certification from Dean of the Dental College | Dentists | Not Available Yet |