Registration as Expanded Function Dental Auxiliary Required - ORC 4715.61
Application to Register as Expanded Function Dental Auxiliary - ORC 4715.62 One correction - All applications are online through the eLicense portal.
Application for Registration as Expanded Function Dental Auxiliary; Requirements; Renewal; Exemptions - OAC 4715-11-04.1
Before You Start: Make sure you have the following items, or the application will not allow you to advance. All applications must be complete before submission.
An EFDA applicant must be one of the following to apply:
I. An unlicensed dentist who has graduated from an accredited dental college, and does not have a dental license under suspension or revocation by the board;
II. A dental student who is enrolled in an accredited dental college;
III. A graduate of an unaccredited dental college located outside the United States;
IV. A dental assistant who is certified by the Dental Assisting National Board (DANB) or the Ohio Commission on Dental Assistant Certification (CODA);
V. An Ohio-licensed dental hygienist whose license is in good standing; or
VI. A dental hygienist who has graduated from an accredited dental hygiene program, and does not have a dental hygiene license under suspension or revocation by the board.
Mailing / Public Address: The address should be the same for both and should be your home address. Only the city and state show up on the public look-up.
Education History - Type "Other" to enter education institutions that are not found.
Background Questions - Personal Statement (Brief explanation including date, and incident), and Court Documentation required for convictions.
Identification Photo: Must be a current, unobstructed, full face identification-type photo (color, forward-facing, head and shoulders only) – NO FILTERS
Proof of Hepatitis B Immunity:
I. Medical documentation confirming the Hepatitis B vaccine was administered as scheduled with full dates. OR
II. Blood titer indicating immunity to the Hepatitis B virus – acceptable titer results are the following: (Reactive; or Positive; or >9.9). OR
III. Traditional Hepatitis B vaccine minimum requirement – medical documentation confirming that the first and second shots were administered (full dates of both), and the third shot (full date) is scheduled on a doctor's letterhead, or script pad, or appointment reminder card, OR
IV. Hepatitis B Waiver Form
Current CPR Certification
I. American Red Cross (ARC), or
II. The American Heart Association (AHA), or
III. The American Safety and Health Institute (ASHI)
EFDA Education/Training - Evidenced by documentation from one of the following:
I. Higher Learning Commission of the North Central Associations of College and School, OR
II. The Commission on Dental Accreditation, OR
III. Dental Student – Proof of current enrollment at an accredited dental college, and is considered by the dean of the college to have completed sufficient clinical training, and is in good standing as a dental student, OR
IV. Graduate of an unaccredited dental college located outside the United States – Proof of completing sufficient clinical training at an accredited dental college as evidenced by a letter signed by the dean of the college.
Proof of Passing Ohio EFDA Exam
I. Passing letter from the Commission on Dental Testing in Ohio (CODT) www.codtinohio.org, OR
II. Scores from the Commission on Dental Competency Assessments (CDCA) www.cdcaexams.org or by phone at 301-563-3300
Valid Credit Card (MasterCard or Visa)
eLicense Ohio Portal- Apply Online
Fee: $25.00 / Renewal: $25.00
Expiration and Renewal of Expanded Function Dental Auxiliary Registration - ORC 4715.63
Application for Registration as Expanded Function Dental Auxiliary; Requirements; Renewal; Exemptions Please Review Section (B) - OAC 4715-11-04.1
Before You Start: Make sure you have the following required documentation, or the application will not allow you to advance. All applications must be complete before submission.
Must hold current certification to perform basic life-support procedures completed through a basic life-support training course certified by the American Red Cross, the American Heart Association, or the American Safety and Health Institute.
eLicense Ohio Portal- Apply Online