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Consumer Forms
  - Complaint Form

Application Forms


- Dental License
- Dental Licensure for Graduates of Unaccredited Dental Colleges Located Outside the United States

- Reinstatement of Dental License

- Dental Hygiene License
- Reinstatement of Dental Hygiene License

- Dental Assistant Radiographer Certificate
- Expired Dental Assistant Radiographer Certificate

- Coronal Polishing Certificate
- Expanded Function Dental Auxiliary

- Limited Resident's License
- Limited Dentist Teaching License
- Limited Dental Hygiene Teaching License
- Limited CE License

- Application for Volunteer Certificate
- Application for Temporary Volunteer Certificate
- Application Packet for an Oral Health Access Supervision Permit
- Application for Sponsorship of Local Anesthesia Program for Dental Hygienist

Licensee Forms


- Change of Address/Name
- Change of Address/Name For Dentists

- To Inform of Retirement
- Hepatitis B Waiver

- Application for General Anesthesia Permit
- Application for Conscious Sedation Permit
- Attestation form for General Anesthesia
- Attestation form for Conscious Sedation

- Permissible Practices Documentation for Dental Hygienists Form
- Permissible Practices Documentation for Dental Assistants Form

Education
 

Approved Courses:
- Dental Assistant Radiology
- Expanded Function Dental Auxiliary (EFDA)
- Coronal Polishing

- Continuing Dental Education Log
- Continuing Dental Hygiene Education Log
- Continuing Education Waiver

- Application for Biennial Sponsorship of Continuing Education Courses in Ohio
-
Evaluation Form For Continuing Education Courses
- Renewal Application for Biennial Sponsorship of Continuing Education Courses in Ohio
- Coronal Polishing Course Application
- Application for Sponsorship of Local Anesthesia Program for Dental Hygienists

Other
  - Application for Approval as a Treatment Provider for Impaired Dentists and Dental Hygienists
- Application for Sponsorship of Initial Training Courses for Dental Radiography

- Start Talking Consent Form

- Infection Control Evaluation Form