REGULATIONS
Vol. 39 Iss. 26 - August 14, 2023

TITLE 18. PROFESSIONAL AND OCCUPATIONAL LICENSING
BOARD OF DENTISTRY
Chapter 21
Forms

REGISTRAR'S NOTICE: Forms used in administering the regulation have been filed by the agency. The forms are not being published; however, online users of this issue of the Virginia Register of Regulations may click on the name of a form with a hyperlink to access it. The forms are also available from the agency contact or may be viewed at the Office of the Registrar of Regulations, 900 East Main Street, 11th Floor, Richmond, Virginia 23219.

Titles of Regulations: 18VAC60-21. Regulations Governing the Practice of Dentistry.

18VAC60-25. Regulations Governing the Practice of Dental Hygiene.

18VAC60-30. Regulations Governing the Practice of Dental Assistants.

Agency Contact: Erin Barrett, Regulatory Coordinator, Department of Health Professions, 9960 Mayland Drive, Suite 300, Henrico, VA 23233, telephone (804) 367-4688, or email erin.barrett@dhp.virginia.gov.

FORMS (18VAC60-21)

Instructions for a Faculty License to Teach Dentistry (rev. 7/2021)

Instructions for Registration for Volunteer Dental Practice (rev. 8/2020)

Instructions for a Temporary Resident's License (rev. 7/2021)

Instructions for a Temporary Dental Permit (rev. 7/2021)

Application for a Permit to Administer Moderate Sedation (rev. 2/2022)

Instructions for a Permit to Administer Deep Sedation/General Anesthesia (rev. 2/2022)

Instructions for Reinstatement of a Permit to Administer Moderate Sedation or Deep Sedation/General Anesthesia (rev. 2/2022)

Instructions for Certification to Perform Cosmetic Procedures (rev. 8/2020)

Instructions for Reinstatement of Certification to Perform Cosmetic Procedures (rev. 8/2020)

Instructions for Restricted Volunteer Dental License (rev. 7/2021)

Instructions for Oral and Maxillofacial Surgeon Registration of Practice (rev. 2/2022)

Instructions for Reinstatement of Oral and Maxillofacial Surgeon Registration of Practice (rev. 2/2022)

Instructions for Registration of a Mobile Dental Facility or Portable Dental Operation (rev. 8/2020)

Instructions for Reactivation of Dental License (rev. 7/2021)

Instructions for Reinstatement of Dental License (rev. 7/2021)

Application Instructions for a Dental License (rev. 2/2022)

Application for Dental License (rev. 6/2023)

Application for Reinstatement of Dental License (rev. 6/2023)

Application for Reactivation of Dental License (rev. 6/2023)

Application for Temporary Dental Permit (rev. 6/2023)

Application for Faculty Dental Licensure (rev. 6/2023)

Application for Registration for Volunteer Dental License (rev. 6/2023)

Temporary Resident Application (rev. 6/2023)

Application for Restricted Volunteer Dental License (rev. 6/2023)

Moderate Sedation Application (rev. 6/2023)

Deep Sedation/General Anesthesia Application (rev. 6/2023)

Reinstatement for Moderate Sedation or Deep Sedation/General Anesthesia (rev. 6/2023)

Foreign Faculty Application (rev. 6/2023)

Application for OMS Registration (rev. 6/2023)

Application for OMS Registration Reinstatement (rev. 6/2023)

Application for Certification to Perform Cosmetic Procedures (rev. 6/2023)

Application for Reinstatement of Certification to Perform Cosmetic Procedures (rev. 6/2023)

Mobile or Portable Facility Application (rev. 6/2023)

Additional Location Pre-Inspection Survey Form (rev. 6/2023)

FORMS (18VAC60-25)

Application Instructions for Dental Hygienists (rev. 2/2022)

Instructions for Registration for Dental Hygiene Volunteer Practice (rev. 7/2021)

Instructions for Reactivation of Dental Hygienist License (rev. 7/2021)

Instructions for Reinstatement of Dental Hygiene License (rev. 7/2021)

Instructions for Restricted Volunteer Dental Hygiene License (rev. 7/2021)

Instructions for a Faculty License to Teach Dental Hygiene (rev. 7/2021)

Instructions for a Temporary Dental Hygiene Permit (rev. 7/2021)

Application for Licensure as Dental Hygienist (rev. 6/2023)

Application for Reinstatement of Dental Hygienist License (rev. 6/2023)

Application for Registration for Dental Hygiene Volunteer Practice (rev. 6/2023)

Application for Reactivation of Dental Hygienist License (rev. 6/2023)

Application for Restricted Volunteer Dental Hygienist License (rev. 6/2023)

Application for Faculty Licensure Dental Hygiene (rev. 6/2023)

Application for Temporary Dental Hygiene Permit (rev. 6/2023)

Continuing Education (CE) Credit Form for Volunteer Practice (rev. 5/2019)

FORMS (18VAC60-30)

Instructions for Registration of Dental Assistant II (rev. 2/2022)

Instructions for Reactivation of Dental Assistant II Registration (rev. 7/2021)

Instructions for Reinstatement of Dental Assistant II Registration (rev. 7/2021)

Application for Registration as Dental Assistant II (rev. 6/2023)

Application for Reactivation as Dental Assistant II (rev. 6/2023)

Application for Reinstatement as Dental Assistant II (rev. 6/2023)

VA.R. Doc. No. R23-7638; Filed July 19, 2023