Applications/Forms
Online Applications
Below are the links to the forms for the applicable applications. These forms will need to be downloaded, filled out and submitted with the application or as instructed. You may submit the forms in the Uploads sections of the application or mail in to our office. Electronic applications allow you to make payment via Visa/Mastercard or e-check.
Please select the appropriate application documents link to download the form(s) before beginning the electronic application.
- Click here to begin the electronic application
Paper Applications
Initial Licensure
- Dentistry Application by Examination
- Dentistry Application by Credential
- Dental Specialty
- Dental Resident Limited License
- Moderate Sedation Permit
- Deep Sedation/General Anesthesia Permit
- Sedation Facility Checklist
- Dental Hygiene
- Local Infiltration Anesthesia
- Nitrous Oxide Monitoring
- Restricted Instructor
- Restricted Volunteer License
- Dental/Orthodontic Technician Registration
- Mobile Dental Facility and Portable Dental Operation Registration
Reinstatement of License/Certification
Other Forms