TITLE 18. PROFESSIONAL AND OCCUPATIONAL LICENSING
NOTICE: The following forms have been filed by the Board of Dentistry. The forms are available for public inspection at the Department of Health Professions, 9960 Mayland Drive, Suite 300, Richmond, Virginia 23233, or at the Office of the Registrar of Regulations, General Assembly Building, 2nd Floor, Richmond, Virginia 23219. Copies of the forms may be obtained from Elaine Yeatts, Agency Regulatory Coordinator, Department of Health Professions, 9960 Mayland Drive, Suite 300, Richmond, VA 23233, telephone (804) 367-4688, or email elaine.yeatts@dhp.virginia.gov.
Title of Regulation: 18VAC60-20. Regulations Governing the Practice of Dentistry and Dental Hygiene.
FORMS (18VAC60-20)
Application Requirements for Dentists (rev. 9/06 8/08).
Application for Licensure License to Practice Dentistry (rev. 12/02 8/08).
Application Requirements for Restricted Dental Volunteer License/Restricted Dental Hygiene License (rev. 8/08).
Application for Restricted Volunteer Licensure License to Practice Dentistry and or Dental Hygiene (eff. 7/98 rev. 8/08).
Requirements and Instructions for a Temporary Resident's License to Persons Enrolled in Advanced Dental Education Programs (eff. 6/06 rev. 5/08).
Application for Temporary Resident's License (eff. 7/04 rev. 5/08).
Form A, Certification of Dental School for Temporary Resident's License (eff. 7/04 rev. 5/08).
Form B, Temporary Resident's License (Certification from Dean of Dental School or Director of Accredited Graduate Program), Temporary Resident's License (eff. 7/04 rev. 5/08).
Form C, Temporary Resident's License (Certification of Dental Licensure), Temporary Resident's License (eff. 7/04 rev. 5/08).
Form D, Temporary Resident's License (Chronology), Temporary Resident's License (eff. 7/04 rev. 5/08).
Form A, Certification of Dental/Dental Hygiene School (rev. 12/02 8/08).
Form AA, Sponsor Certification for Dental/Dental Hygiene Volunteer License (eff. 7/98 rev. 8/08).
Form B, Chronology (rev. 12/02 8/08).
Form C, Certification of Dental/Dental Hygiene Boards (rev. 12/02 8/08).
Licensure Procedures Application Requirements for Dental Hygienists (rev. 9/06 1/08).
Application for Licensure to Practice Dental Hygiene (rev. 12/02 1/08).
Instructions for Reinstatement of License (rev. 9/06 4/08).
Reinstatement Application for Dental/Dental Hygiene Licensure (rev. 12/02 4/08).
Instructions for Application for Reactivation of License (rev. 9/06 8/08).
Application for Reactivation of License (rev. 9/06 8/08).
Radiology Information for Dental Assistants (rev. 7/97).
Renewal Notice and Application, 0401 Dentist (rev. 12/02).
Renewal Notice and Application, 0402 Dental Hygienist (rev. 12/02).
Renewal Notice and Application, 0404 Dental Teacher (rev. 12/02).
Renewal Notice and Application, 0406 Dental Hygiene Teacher (rev. 12/02).
Renewal Notice and Application, 0411 Full-time Faculty (rev. 12/02).
Renewal Notice and Application, 0438 Cosmetic Procedure Certification (rev. 12/02).
Renewal Notice and Application, 0439 Oral and Maxillofacial (rev. 12/02).
Application for Certification to Perform Cosmetic Procedures (rev. 9/06 8/08).
Rhinoplasty/similar Procedures (rev. 7/02).
Bletharoplasty/similar Procedures (rev. 7/02).
Rhytidectomy/similar Procedures (rev. 7/02).
Submental liposuction/similar Procedures (rev. 7/02).
Browlift/either open or endoscopic technique/similar Procedures (rev. 7/02).
Otoplasty/similar Procedures (7/02).
Laser Resurfacing or Dermabrasion/similar Procedures (rev. 7/02).
Platysmal muscle plication/similar Procedures (rev. 7/02).
Application Review Worksheet (rev. 7/02).
Practitioner Questionnaire (rev. 12/02).
Oral and Maxillofacial Surgeon Registration of Practice (rev. 9/06 8/08).
Application for Registration for Volunteer Practice (eff. 12/02 rev. 8/08).
Sponsor Certification for Volunteer Registration (eff. 1/03 rev. 8/08).
VA.R. Doc. No. R09-1578; Filed August 27, 2008, 11:58 a.m.