Skip Nav
Thanksgiving Holiday In observance of Thanksgiving, all State of Nevada offices will be closed on Thursday, November 26, and Friday, November 27, 2026. Thank you! State Holidays

Permit | Certification Applications | Forms

Application | Form

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